Dental
Patel, Niravkumar
Patel, Niravkumar was paid $228K by Medicaid between Feb 2021 and Nov 2021, across 20 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 11% of everything it billed.
33Billing provider infoPATEL, NIRAVKUMAR
EMMAUS, PA 18049
EMMAUS, PA 18049
33aNPI1184224008assigned 10/29/2020
33bProvider typeDentist
28Total paid$228K
24GClaims7,554
24DCodes billed20
24AFirst – last monthFeb 2021 – Nov 2021
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#111 of 683
Median peer was paid$34K
This provider vs. median6.6×
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 | 7,554 | $228K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 521 | 190 | $26K |
| D1351 | Sealant - per tooth | 11% | 1,062 | 151 | $26K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 391 | 143 | $25K |
| D1110 | Prophylaxis - adult | 9.9% | 634 | 632 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.4% | 362 | 174 | $21K |
| D0274 | Bitewings - four radiographic images | 8.9% | 731 | 729 | $20K |
| D9920 | 8.7% | 192 | 191 | $20K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 481 | 481 | $14K |
| D0330 | Panoramic radiographic image | 4.7% | 292 | 290 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 369 | 368 | $9K |
| D2332 | 2.8% | 98 | 32 | $6K | |
| D1206 | Topical application of fluoride varnish | 2.6% | 385 | 385 | $6K |
8 more codes
| D1120 | Dental cleaning, child | 2.4% | 180 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 638 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 526 | $4K |
| D0602 | 1.1% | 265 | $2K | |
| D9110 | <1% | 56 | $2K | |
| D1330 | <1% | 304 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 35 | $1K |
| D1310 | <1% | 32 | $45.00 |
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.