Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHAH, KHANTIL

NPI: 1194134601 · PASCOAG, RI 02859 · General Practice Dentistry · NPI assigned 08/08/2014

$17K
Total Medicaid Paid
889
Total Claims
878
Beneficiaries
7
Codes Billed
2018-05
First Month
2018-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 889 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 206 202 $8K
D0120 Periodic oral evaluation - established patient 145 144 $4K
D1208 Topical application of fluoride, excluding varnish 82 81 $2K
D0274 Bitewings - four radiographic images 77 76 $1K
D0220 Intraoral - periapical first radiographic image 184 182 $1K
D0230 Intraoral - periapical each additional radiographic image 171 169 $668.80
D0150 Comprehensive oral evaluation - new or established patient 24 24 $505.20