Mankotia, Saurabh

Mankotia, Saurabh was paid $13K by Medicaid between Aug 2022 and Oct 2023, across 8 billing codes. Its largest line is D1351, Sealant - per tooth — 59% of everything it billed.

33Billing provider infoMANKOTIA, SAURABH
LA MARQUE, TX 77568

33aNPI1083189179assigned 10/04/2018

33bProvider typeDentist

28Total paid$13K

24GClaims537

24DCodes billed8

24AFirst – last monthAug 2022 – Oct 2023

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,033 of 1,678

Median peer was paid$35K

This provider vs. median0.4×

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
2022	437	$11K
2023	100	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	59%	284	26	$8K
D1120	Dental cleaning, childProphylaxis - child	13%	47	47	$2K
D1206	Topical application of fluoride varnish	9.5%	87	85	$1K
D0150	Comprehensive oral evaluation - new or established patient	7.9%	31	31	$1K
D0210	Intraoral - complete series of radiographic images	7.6%	14	14	$988.96
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.1%	14	14	$403.90
D0602		0%	25	25	$0.00
D0603		0%	35	35	$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.