SHAH, TUSHAR
NPI: 1114919594
· MOHAWK, NY 13407
· General Practice Dentistry
· NPI assigned 08/22/2005
$244K
Total Medicaid Paid
6,772
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,024 |
$37K |
| 2019 |
1,050 |
$37K |
| 2020 |
1,089 |
$37K |
| 2021 |
1,246 |
$44K |
| 2022 |
1,034 |
$38K |
| 2023 |
890 |
$34K |
| 2024 |
443 |
$18K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,309 |
2,307 |
$128K |
| D0120 |
Periodic oral evaluation - established patient |
2,657 |
2,655 |
$74K |
| D0274 |
Bitewings - four radiographic images |
929 |
929 |
$28K |
| D1208 |
Topical application of fluoride, excluding varnish |
777 |
777 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
49 |
49 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
25 |
25 |
$703.00 |
| D0330 |
Panoramic radiographic image |
17 |
17 |
$680.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$569.00 |