Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Middletown › NPI 1073931291
Clinic

Paul Duggal P.C.

Paul Duggal P.C. was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.

33Billing provider infoPAUL DUGGAL P.C.
MIDDLETOWN, NY 10940
33aNPI1073931291assigned 04/03/2014
33bProvider typeDental Clinic/Center
28Total paid$1.30M
24GClaims41,003
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in New York

Rank by total paid#16 of 188
Median peer was paid$113K
This provider vs. median12×

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$20K$40K$60K2018201920202021202220232024
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
20184,669$134K
20195,732$164K
20206,503$177K
20217,617$210K
20227,107$260K
20236,596$280K
2024incomplete2,779$77K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 23% 5,547 5,547 $302K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 6,285 6,285 $175K
D0274 Bitewings - four radiographic images 12% 5,670 5,670 $159K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.2% 859 676 $94K
D2751 Crown - porcelain fused to predominantly base metal 7.0% 134 110 $91K
D0220 Intraoral - periapical first radiographic image 7.0% 6,741 6,727 $91K
D1120 Dental cleaning, childProphylaxis - child 5.8% 1,820 1,820 $75K
D0230 Intraoral - periapical each additional radiographic image 4.8% 6,293 6,289 $62K
D1208 Topical application of fluoride, excluding varnish 3.2% 3,036 3,036 $42K
D0150 Comprehensive oral evaluation - new or established patient 3.1% 1,384 1,384 $40K
D0210 Intraoral - complete series of radiographic images 2.8% 1,452 1,443 $36K
D1351 Sealant - per tooth 2.6% 352 239 $34K
13 more codes
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.5% 431 $33K
D2954 2.0% 168 $26K
D2150 Silver amalgam - two surfaces, primary or permanent 1.1% 88 $14K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 71 $7K
D2332 <1% 24 $5K
D3320 <1% 16 $5K
D0140 Limited oral evaluation - problem focused <1% 324 $5K
D0330 Panoramic radiographic image <1% 74 $2K
D2140 <1% 14 $1K
D0272 Bitewings - two radiographic images <1% 75 $1K
D2330 <1% 20 $1K
D9110 <1% 12 $281.30
D1999 0% 113 $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 officialDUGGAL, PAUL (PRESIDENT)