Dental
Shah, Sanika
Shah, Sanika was paid $541K by Medicaid between Nov 2021 and Sep 2022, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 50% of everything it billed.
33Billing provider infoSHAH, SANIKA
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1093305310assigned 01/20/2021
33bProvider typeDentist
28Total paid$541K
24GClaims21,384
24DCodes billed23
24AFirst – last monthNov 2021 – Sep 2022
Compared with peers
Next to other Dentist providers in Rhode Island
Rank by total paid#28 of 93
Median peer was paid$115K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2021 | 4,404 | $71K | |
| 2022 | 16,980 | $471K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 50% | 3,294 | 2,263 | $273K |
| D1206 | Topical application of fluoride varnish | 7.6% | 2,464 | 1,233 | $41K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 1,359 | 483 | $40K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.1% | 1,847 | 952 | $38K |
| D1354 | 5.0% | 1,833 | 413 | $27K | |
| D1351 | Sealant - per tooth | 4.2% | 2,066 | 371 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 1,028 | 340 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 1,934 | 953 | $18K |
| D0274 | Bitewings - four radiographic images | 1.9% | 1,105 | 540 | $10K |
| D0330 | Panoramic radiographic image | 1.3% | 408 | 202 | $7K |
| D7111 | 1.2% | 262 | 94 | $7K | |
| D0272 | Bitewings - two radiographic images | 1.2% | 754 | 383 | $7K |
11 more codes
| D1110 | Prophylaxis - adult | 1.1% | 446 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 493 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 609 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 78 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 142 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 696 | $2K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 27 | $2K |
| D2940 | <1% | 77 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 143 | $1K |
| D0270 | <1% | 205 | $454.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 114 | $176.00 |
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.