Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Shah, Anil

Shah, Anil was paid $618K by Medicaid between Jan 2018 and Mar 2024, across 29 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.

33Billing provider infoSHAH, ANIL
WAYNE, PA 19087
33aNPI1043654098assigned 04/22/2013
33bProvider typePediatric Dentist
28Total paid$618K
24GClaims20,919
24DCodes billed29
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Pediatric Dentist providers in Pennsylvania

Rank by total paid#36 of 237
Median peer was paid$109K
This provider vs. median5.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018809$22K
2019210$5K
20202,390$77K
202117,427$512K
2024incomplete83$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 17% 1,087 517 $106K
D1120 Dental cleaning, childProphylaxis - child 13% 2,746 2,739 $81K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12% 1,334 840 $76K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 9.7% 1,437 1,384 $60K
D1206 Topical application of fluoride varnish 8.1% 2,756 2,750 $50K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.3% 2,197 2,194 $45K
D7140 Extraction, erupted tooth or exposed root 6.8% 663 395 $42K
D0272 Bitewings - two radiographic images 4.4% 1,671 1,670 $27K
D1351 Sealant - per tooth 3.8% 983 362 $23K
D0330 Panoramic radiographic image 2.9% 490 490 $18K
D0150 Comprehensive oral evaluation - new or established patient 2.8% 852 852 $17K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.4% 318 231 $15K
17 more codes
D8670 Periodic orthodontic treatment visit 2.2% 146 $14K
D1330 1.3% 1,896 $8K
D1110 Prophylaxis - adult 1.2% 212 $8K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1.1% 90 $7K
D0274 Bitewings - four radiographic images <1% 114 $3K
D1208 Topical application of fluoride, excluding varnish <1% 174 $3K
D0601 <1% 367 $3K
D0603 <1% 343 $3K
D0140 Limited oral evaluation - problem focused <1% 76 $2K
D0220 Intraoral - periapical first radiographic image <1% 259 $2K
D1354 <1% 115 $2K
D0210 Intraoral - complete series of radiographic images <1% 15 $675.00
D1310 <1% 260 $620.00
D0240 <1% 51 $588.00
D0602 <1% 47 $430.00
D0230 Intraoral - periapical each additional radiographic image <1% 21 $192.74
D1999 0% 199 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.