STEVE BRASLAVSKY DDS, INC
NPI: 1811387772
· VAN NUYS, CA 91405
· Dentist
· NPI assigned 01/30/2015
$284K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
556 |
$37K |
| 2019 |
356 |
$27K |
| 2020 |
542 |
$35K |
| 2021 |
545 |
$40K |
| 2022 |
521 |
$35K |
| 2023 |
691 |
$83K |
| 2024 |
231 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,428 |
1,421 |
$89K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
738 |
309 |
$83K |
| D2740 |
Crown - porcelain/ceramic |
110 |
64 |
$52K |
| D0210 |
Intraoral - complete series of radiographic images |
874 |
865 |
$41K |
| D1110 |
Prophylaxis - adult |
105 |
105 |
$8K |
| D2952 |
|
41 |
25 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
64 |
38 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
40 |
40 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
42 |
42 |
$468.00 |