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NPI 1023279254 · Elizabeth, NJ · Dentist
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Grigoriy Yusupov is a dentist provider located in Elizabeth, New Jersey. This profile covers 8 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Grigoriy Yusupov |
| Address | 65 Jefferson Avenue |
| City | Elizabeth |
| State | NJ |
| ZIP | 07201 |
| Taxonomy | Dentist |
| NPI Enumerated | June 20, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $482.8K |
| Medicaid | $67.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 21215 | The provider applies bone graft material to the mandible, or lower jaw, to repair deformity of the mandible due to fracture, injury, tumor resection, or congenital defect, such as a thin mandible, to… | 40 | $3,930 | $161.2K |
| 15576 | The provider prepares a direct or tubed pedicle skin flap with the patient’s healthy skin and tissue to cover an injury or wound on the body. The provider may or may not transfer the flap to the… | 140 | $730 | $101.3K |
| 21210 | The provider applies bone graft material to the face to correct cosmetic deformities of the bony structures of the nose, upper jaw, and cheeks, caused by injury or disease. | 50 | $1,660 | $88.1K |
| 15574 | The provider prepares a direct or tubed pedicle skin flap with the patient’s healthy skin and tissue to cover an injury or wound on the body. The provider may or may not transfer the flap to the… | 90 | $830 | $76.5K |
| 40820 | In this procedure, the provider eradicates a lesion present in the vestibule of the mouth using various techniques, except for excision. | 120 | $250 | $29.1K |
| 42107 | In this procedure, the provider removes a lesion from the palate or uvula. She closes the site using a local flap. | 50 | $400 | $21K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 30 | $100 | $3.4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 20 | $80 | $2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D2393 | Resin-based composite, three surfaces, posterior | 650 | $40 | $26K |
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 590 | $30 | $15.8K |
| D0230 | Intraoral - periapical each additional radiographic image | 750 | $10 | $6.7K |
| D0150 | Comprehensive oral evaluation – new or established patient | 340 | $10 | $4.4K |
| D0160 | N/A | 200 | $20 | $4.2K |
| D0220 | Intraoral - periapical first radiographic image | 1,000 | $1 | $4K |
| D2391 | Resin‑based composite – one surface, posterior | 130 | $30 | $3.7K |
| D2332 | N/A | 30 | $60 | $1.5K |
| D0120 | Periodic oral evaluation - established patient | 10 | $20 | $280 |
| D0274 | N/A | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,648 | 1,690 | 610 | $20 | $60.7K |
| D2391 | Resin‑based composite – one surface, posterior | 465 | 740 | 240 | $40 | $43.8K |
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 684 | 1,530 | 450 | $30 | $42.3K |
| D2393 | Resin-based composite, three surfaces, posterior | 96 | 440 | 150 | $60 | $36.7K |
| D0160 | N/A | 17 | 40 | 200 | $50 | $25.6K |
| D0150 | Comprehensive oral evaluation – new or established patient | 567 | 1,360 | 210 | $20 | $19.2K |
| D2332 | N/A | 125 | 150 | 80 | $50 | $14.5K |
| D0274 | N/A | 1,186 | 1,280 | 320 | $10 | $12.5K |
| D0220 | Intraoral - periapical first radiographic image | 605 | 1,650 | 490 | $1 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 572 | 1,400 | 440 | $1 | $8.9K |
Other providers in the same ZIP code as Grigoriy Yusupov, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Skolnick Dental Associates Spec LLC | NJ | Orthodontics and Dentofacial Orthopedics Dentistry | $0 | $22.1M |
| Bayada Home Health Care, Inc. | NJ | Home Health Agency | $0 | $21.8M |
| Maro Medical & Surgical Supplies,inc | NJ | Durable Medical Equipment & Medical Supplies | $0 | $16.3M |
| Amber Court Of Elizabeth | NJ | Assisted Living Facility | $0 | $15.4M |
| Garden State Cardiovascular Specialists P.C | NJ | Cardiovascular Disease Physician | $0 | $7.4M |
| Jasjit Walia | NJ | Cardiovascular Disease Physician | $312.4K | $0 |
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