Dental
Adigarla, Sai Pavan
Adigarla, Sai Pavan was paid $9K by Medicaid between Jul 2024 and Aug 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoADIGARLA, SAI PAVAN
SNYDER, TX 79549
SNYDER, TX 79549
33aNPI1053048223assigned 08/06/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$9K
24GClaims495
24DCodes billed10
24AFirst – last monthJul 2024 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,938 of 2,774
Median peer was paid$43K
This provider vs. median0.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 495 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 53 | 53 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 64 | 64 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 132 | 64 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 69 | 69 | $999.60 |
| D0220 | Intraoral - periapical first radiographic image | 9.4% | 64 | 64 | $803.84 |
| D1110 | Prophylaxis - adult | 7.7% | 12 | 12 | $658.56 |
| D0274 | Bitewings - four radiographic images | 4.9% | 13 | 13 | $415.32 |
| D0272 | Bitewings - two radiographic images | 4.4% | 16 | 16 | $374.08 |
| D0603 | 0% | 42 | 42 | $0.00 | |
| D0602 | 0% | 30 | 30 | $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.