GRIGORIY YUSUPOV, DDS
Dentist · ELIZABETH, NJ
Individual Active NPI 1023279254
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 148 | 812 | $1,001,350 | $674,860 | $536,755 |
| 2023 | 117 | 555 | $869,000 | $607,143 | $483,453 |
| 2022 | 103 | 519 | $514,450 | $421,247 | $335,074 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 15576 | Creation of flap graft to eyelids, nose, ears, lips, or mouth | 271 | $903 | $718 |
| 11442 | Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm | 200 | $114 | $90 |
| 40820 | Destruction of growth or scar of mouth | 85 | $301 | $238 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 55 | $127 | $101 |
| 15574 | Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet | 53 | $977 | $778 |
| 21215 | Repair of lower jaw bone with bone graft | 49 | $4,603 | $3,667 |
| 42107 | Removal of growth of roof of mouth with local tissue graft | 41 | $503 | $395 |
| 21210 | Repair of nasal or cheek bone with bone graft | 38 | $1,968 | $1,568 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 18 | $103 | $78 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist | 122300000X | ✓ | 220102207500 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other Dentist providers in New Jersey
- NPI 1023008091
- NPI 1538293154
- NPI 1952511651
- NPI 1598229205
- NPI 1972134120
- NPI 1811263171
- NPI 1851946313
- NPI 1831982842
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.