Dental
Upadhyaya, Mansi
Upadhyaya, Mansi was paid $49K by Medicaid between May 2018 and Mar 2020, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 22% of everything it billed.
33Billing provider infoUPADHYAYA, MANSI
MILWAUKEE, WI 53221
MILWAUKEE, WI 53221
33aNPI1073850202assigned 01/08/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$49K
24GClaims2,106
24DCodes billed13
24AFirst – last monthMay 2018 – Mar 2020
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#87 of 208
Median peer was paid$26K
This provider vs. median1.9×
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 | 603 | $15K | |
| 2019 | 1,226 | $27K | |
| 2020 | 277 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 553 | 530 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 19% | 216 | 212 | $9K |
| D1110 | Prophylaxis - adult | 15% | 282 | 273 | $7K |
| D0330 | Panoramic radiographic image | 14% | 205 | 199 | $7K |
| D1206 | Topical application of fluoride varnish | 8.6% | 340 | 339 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 155 | 152 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 49 | 28 | $3K |
| D0274 | Bitewings - four radiographic images | 4.2% | 153 | 130 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.9% | 33 | 16 | $1K |
| D1351 | Sealant - per tooth | 1.7% | 51 | 13 | $851.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 27 | 25 | $348.04 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 28 | 26 | $206.73 |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $206.16 |
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.