Dental
Litvinenko, Viacheslav
Litvinenko, Viacheslav was paid $1.01M by Medicaid between Aug 2018 and Nov 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoLITVINENKO, VIACHESLAV
ENDICOTT, NY 13760
ENDICOTT, NY 13760
33aNPI1871954610assigned 03/07/2016
33bProvider typePediatric Dentist
28Total paid$1.01M
24GClaims31,110
24DCodes billed20
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#112 of 514
Median peer was paid$196K
This provider vs. median5.2×
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 | 1,567 | $41K | |
| 2019 | 9,059 | $307K | |
| 2020 | 9,526 | $335K | |
| 2021 | 5,153 | $181K | |
| 2022 | 1,522 | $34K | |
| 2023 | 2,648 | $65K | |
| 2024incomplete | 1,635 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 4,337 | 4,333 | $166K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,668 | 843 | $122K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 4,136 | 4,131 | $103K |
| D1351 | Sealant - per tooth | 9.8% | 2,799 | 890 | $99K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.2% | 1,760 | 1,727 | $83K |
| D1206 | Topical application of fluoride varnish | 7.1% | 2,583 | 2,579 | $72K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.0% | 2,129 | 2,109 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 1,008 | 556 | $49K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.1% | 390 | 182 | $41K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 789 | 433 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 2,832 | 2,801 | $33K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 2,175 | 2,172 | $28K |
8 more codes
| D0272 | Bitewings - two radiographic images | 2.7% | 1,559 | $27K |
| D1110 | Prophylaxis - adult | 2.5% | 557 | $25K |
| D0330 | Panoramic radiographic image | 2.4% | 561 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 851 | $23K |
| D0274 | Bitewings - four radiographic images | 1.8% | 622 | $18K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 70 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 272 | $4K |
| D9995 | 0% | 12 | $0.00 |
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.