Dental
Khlevnoy, Victor
Khlevnoy, Victor was paid $40K by Medicaid between Jan 2018 and Feb 2019, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoKHLEVNOY, VICTOR
SARASOTA, FL 34233
SARASOTA, FL 34233
33aNPI1881610285assigned 07/15/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$40K
24GClaims2,314
24DCodes billed11
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#244 of 568
Median peer was paid$24K
This provider vs. median1.6×
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 | 2,138 | $37K | |
| 2019 | 176 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 380 | 378 | $10K |
| D1110 | Prophylaxis - adult | 13% | 123 | 121 | $5K |
| D0140 | Limited oral evaluation - problem focused | 12% | 150 | 139 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 786 | 318 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 122 | 120 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 9.7% | 384 | 368 | $4K |
| D0274 | Bitewings - four radiographic images | 7.7% | 190 | 190 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 124 | 122 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 24 | 13 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.4% | 16 | 13 | $966.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 15 | 15 | $540.00 |
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.