BRASLAVSKY DDS, INC
NPI: 1932503042
· WEST HOLLYWOOD, CA 90046
· Dentist
· NPI assigned 10/17/2014
$110K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
187 |
$15K |
| 2020 |
37 |
$7K |
| 2022 |
68 |
$4K |
| 2023 |
88 |
$20K |
| 2024 |
239 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2751 |
Crown - porcelain fused to predominantly base metal |
146 |
54 |
$69K |
| D2952 |
|
103 |
38 |
$11K |
| D5751 |
|
53 |
53 |
$10K |
| D5750 |
|
42 |
42 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
69 |
68 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
81 |
79 |
$3K |
| D4341 |
|
41 |
14 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
37 |
37 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
47 |
43 |
$470.00 |