RAFAEL ISAKHAROV DDS PC
NPI: 1932783560
· REGO PARK, NY 11374
· Dentist
· NPI assigned 05/10/2021
$125K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ISAKHAROV, RAFAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
3,170 |
$81K |
| 2024 |
1,803 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
807 |
806 |
$35K |
| D9944 |
|
181 |
181 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
683 |
683 |
$15K |
| D0230 |
Intraoral - periapical each additional radiographic image |
890 |
885 |
$14K |
| D0210 |
Intraoral - complete series of radiographic images |
708 |
704 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
952 |
945 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
208 |
208 |
$5K |
| D9990 |
|
222 |
194 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
71 |
40 |
$4K |
| D2954 |
|
17 |
12 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
150 |
150 |
$2K |
| D0274 |
Bitewings - four radiographic images |
70 |
70 |
$2K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$481.94 |