Steven R. Spivak, DMD, INC

Steven R. Spivak, DMD, INC was paid $12K by Medicaid between Apr 2018 and Oct 2018, across 6 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.

33Billing provider infoSTEVEN R. SPIVAK, DMD, INC
NORTH HOLLYWOOD, CA 91605

33aNPI1750780110assigned 08/21/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims555

24DCodes billed6

24AFirst – last monthApr 2018 – Oct 2018

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,133 of 2,668

Median peer was paid$173K

This provider vs. median0.1×

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
2018	555	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	30%	57	43	$4K
D1110	Prophylaxis - adult	25%	71	70	$3K
D0150	Comprehensive oral evaluation - new or established patient	24%	75	75	$3K
D0274	Bitewings - four radiographic images	11%	78	78	$1K
D0230	Intraoral - periapical each additional radiographic image	5.3%	200	79	$649.65
D1208	Topical application of fluoride, excluding varnish	4.3%	74	74	$536.00

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 officialSPIVAK, STEVEN (CEO)