Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Shah, Sejal

Shah, Sejal was paid $226K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.

33Billing provider infoSHAH, SEJAL
JAMAICA, NY 11432
33aNPI1093844813assigned 03/05/2007
28Total paid$226K
24GClaims12,002
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#571 of 2,184
Median peer was paid$54K
This provider vs. median4.2×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,877$34K
2019630$12K
2020457$8K
20212,293$45K
20222,613$49K
20232,144$39K
2024incomplete1,988$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 32% 2,076 2,075 $73K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 16% 1,969 1,965 $37K
D0274 Bitewings - four radiographic images 11% 1,452 1,452 $25K
D0220 Intraoral - periapical first radiographic image 8.6% 2,168 2,147 $19K
D0230 Intraoral - periapical each additional radiographic image 7.8% 1,544 1,522 $18K
D0150 Comprehensive oral evaluation - new or established patient 6.6% 693 693 $15K
D1120 Dental cleaning, childProphylaxis - child 4.6% 362 361 $10K
D1208 Topical application of fluoride, excluding varnish 4.5% 986 984 $10K
D0210 Intraoral - complete series of radiographic images 4.4% 257 257 $10K
D4341 1.8% 117 44 $4K
D0272 Bitewings - two radiographic images 1.4% 316 315 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 17 14 $849.00
3 more codes
D0140 Limited oral evaluation - problem focused <1% 12 $128.60
D1320 <1% 15 $20.50
D1330 0% 18 $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.