I ZAK DDS PROF DENTAL CORP
NPI: 1831742303
· SAN DIEGO, CA 92104
· Periodontist
· NPI assigned 07/23/2019
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official ZAK, ILYA controls 11+ related entities in our dataset. Read more
$111K
Total Medicaid Paid
Provider Details
| Authorized Official | ZAK, ILYA (CEO) |
| NPI Enumeration Date | 07/23/2019 |
Related Entities
Other providers sharing the same authorized official: ZAK, ILYA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
250 |
$10K |
| 2021 |
2,183 |
$36K |
| 2022 |
1,705 |
$31K |
| 2023 |
1,149 |
$24K |
| 2024 |
550 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
591 |
591 |
$39K |
| D0210 |
Intraoral - complete series of radiographic images |
530 |
517 |
$23K |
| D0350 |
|
2,405 |
830 |
$21K |
| D1110 |
Prophylaxis - adult |
126 |
126 |
$11K |
| D0330 |
Panoramic radiographic image |
470 |
467 |
$5K |
| D9430 |
|
135 |
135 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,294 |
279 |
$4K |
| D0274 |
Bitewings - four radiographic images |
97 |
95 |
$972.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$970.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
50 |
49 |
$654.00 |
| D9995 |
|
126 |
125 |
$53.80 |