Doctor profile · Federal record
Dr. DMITRIY IVANOV, DDS
Periodontist · Dentist · LOS ANGELES, CA
- NPI 1891142055
- 10 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3140 SAWTELLE BLVD APT 305
LOS ANGELES, CA 900661468
(310) 926-8985 - Mailing address
-
2406 MATHEWS AVE UNIT A
REDONDO BEACH, CA 902785503
Credentials & registration
- NPI registered
- May 2016 — 10 yrs on file
- Profile last updated
- July 30, 2025
- Specialty taxonomy
- 1223P0300X — NUCC code
- State license (1)
- California #64494
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1891142055. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,142
Transactions
5
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $1,000.00 | |
| Straumann USA LLC | 1 | $75.00 | |
| Dentsply Sirona Inc | 2 | $51.35 | |
| Benco Dental Supply Co. | 1 | $15.60 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
166
Patients
134
Total drug cost
$755
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 85 | 65 | $417 |
| Ibuprofen | Generic | 69 | 57 | $306 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 12 | 12 | $32 |