Clinic
Antipov Dental INC
Antipov Dental INC was paid $631K by Medicaid between Jun 2018 and Dec 2024, across 13 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 29% of everything it billed.
33Billing provider infoANTIPOV DENTAL INC
SAN FRANCISCO, CA 94102
SAN FRANCISCO, CA 94102
33aNPI1922510189assigned 10/27/2017
33bProvider typeDental Clinic/Center
28Total paid$631K
24GClaims11,056
24DCodes billed13
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#323 of 1,135
Median peer was paid$200K
This provider vs. median3.2×
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 | 474 | $25K | |
| 2019 | 472 | $28K | |
| 2020 | 1,243 | $70K | |
| 2021 | 2,069 | $120K | |
| 2022 | 2,234 | $128K | |
| 2023 | 2,037 | $110K | |
| 2024incomplete | 2,527 | $151K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 29% | 1,570 | 722 | $185K |
| D0150 | Comprehensive oral evaluation - new or established patient | 26% | 2,492 | 2,477 | $163K |
| D1110 | Prophylaxis - adult | 18% | 1,318 | 1,304 | $116K |
| D9430 | 9.2% | 1,815 | 1,586 | $58K | |
| D0210 | Intraoral - complete series of radiographic images | 8.8% | 1,167 | 1,158 | $55K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 1,150 | 1,137 | $17K |
| D0330 | Panoramic radiographic image | 1.5% | 321 | 320 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.2% | 99 | 90 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 70 | 27 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 73 | 41 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 588 | 480 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 223 | 223 | $4K |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 170 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialANTIPOVA, OLGA (DOCTOR)