Dental
Khooshab Patish-Preobrazhenskaya Dental Corporation
Khooshab Patish-Preobrazhenskaya Dental Corporation was paid $491K by Medicaid between Feb 2021 and Dec 2024, across 15 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 22% of everything it billed.
33Billing provider infoKHOOSHAB PATISH-PREOBRAZHENSKAYA DENTAL CORPORATION
OCEANSIDE, CA 92057
OCEANSIDE, CA 92057
33aNPI1720642317assigned 04/29/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$491K
24GClaims14,624
24DCodes billed15
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#891 of 2,668
Median peer was paid$173K
This provider vs. median2.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 3,066 | $91K | |
| 2022 | 3,656 | $109K | |
| 2023 | 3,728 | $141K | |
| 2024incomplete | 4,174 | $150K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 1,605 | 1,600 | $106K |
| D1110 | Prophylaxis - adult | 20% | 1,094 | 1,087 | $97K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 1,455 | 1,448 | $69K |
| D0350 | 14% | 7,396 | 1,950 | $68K | |
| D2740 | Crown - porcelain/ceramic | 12% | 128 | 71 | $60K |
| D4910 | 5.1% | 328 | 328 | $25K | |
| D1206 | Topical application of fluoride varnish | 4.7% | 1,353 | 1,347 | $23K |
| D0330 | Panoramic radiographic image | 3.3% | 546 | 539 | $16K |
| D4341 | 3.1% | 217 | 62 | $15K | |
| D2954 | <1% | 46 | 35 | $5K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 22 | 13 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 381 | 75 | $1K |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPATISH-PROBRAZHENSKAYA, ALLA (VICE PRESIDENT)