Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BERSHADSKY DENTAL CORPORATION

NPI: 1750882676 · WOODLAND HILLS, CA 91303 · Dental Clinic/Center · NPI assigned 02/26/2018

$54K
Total Medicaid Paid
2,003
Total Claims
1,375
Beneficiaries
9
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERSHADSKY, YURY (DENTIST)
Parent OrganizationBERSHADSKY DENTAL CORPORATION
NPI Enumeration Date02/26/2018

Related Entities

Other providers sharing the same authorized official: BERSHADSKY, YURY

ProviderCityStateTotal Paid
YURY BERSHADSKY D.D.S. INC. CHATSWORTH CA $28K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $2K
2021 258 $7K
2022 352 $7K
2023 442 $10K
2024 925 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 409 408 $27K
D9430 313 274 $10K
D0210 Intraoral - complete series of radiographic images 112 112 $5K
D4910 56 56 $4K
D0230 Intraoral - periapical each additional radiographic image 1,022 442 $4K
D1110 Prophylaxis - adult 12 12 $1K
D0120 Periodic oral evaluation - established patient 12 12 $815.00
D0220 Intraoral - periapical first radiographic image 55 47 $660.00
D0274 Bitewings - four radiographic images 12 12 $237.60