Dental
Shefali Pandya, D.M.D., P.A.
Shefali Pandya, D.M.D., P.A. was paid $31K by Medicaid between May 2018 and Aug 2024, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 54% of everything it billed.
33Billing provider infoSHEFALI PANDYA, D.M.D., P.A.
WILMINGTON, DE 19803
WILMINGTON, DE 19803
33aNPI1063731198assigned 05/28/2010
33bProvider typeDentist
28Total paid$31K
24GClaims1,411
24DCodes billed8
24AFirst – last monthMay 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in Delaware
Rank by total paid#38 of 55
Median peer was paid$204K
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 | |
|---|---|---|---|
| 2018 | 136 | $4K | |
| 2019 | 203 | $6K | |
| 2020 | 583 | $7K | |
| 2021 | 208 | $6K | |
| 2022 | 144 | $5K | |
| 2023 | 104 | $3K | |
| 2024incomplete | 33 | $849.12 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 54% | 646 | 542 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 35% | 341 | 291 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 40 | 39 | $2K |
| D1110 | Prophylaxis - adult | 3.9% | 51 | 18 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 13 | 13 | $311.10 |
| D1999 | 0% | 205 | 101 | $0.00 | |
| D0601 | 0% | 101 | 81 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 14 | 13 | $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.
From NPPES
Who's on the registration
Authorized officialPANDYA, SHEFALI (DENTIST)