Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › San Angelo › NPI 1194379271
Dental

Kolliboyana, Jai Krishna Srikanth

Kolliboyana, Jai Krishna Srikanth was paid $134K by Medicaid between Nov 2019 and Oct 2023, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 12% of everything it billed.

33Billing provider infoKOLLIBOYANA, JAI KRISHNA SRIKANTH
SAN ANGELO, TX 76901
33aNPI1194379271assigned 07/28/2019
33bProvider typeDentist
28Total paid$134K
24GClaims6,310
24DCodes billed24
24AFirst – last monthNov 2019 – Oct 2023
Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#573 of 1,678
Median peer was paid$35K
This provider vs. median3.9×

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$20K$40K2018201920202021202220232024
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
20191,241$31K
20203,078$76K
20231,991$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 12% 507 489 $16K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 9.8% 194 135 $13K
D7140 Extraction, erupted tooth or exposed root 8.9% 246 138 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.1% 194 142 $11K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.4% 461 452 $10K
D1351 Sealant - per tooth 7.3% 434 131 $10K
D1110 Prophylaxis - adult 7.3% 272 262 $10K
D0150 Comprehensive oral evaluation - new or established patient 6.6% 433 419 $9K
D1206 Topical application of fluoride varnish 5.4% 305 289 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.1% 173 121 $7K
D0274 Bitewings - four radiographic images 4.5% 368 359 $6K
D0230 Intraoral - periapical each additional radiographic image 4.2% 927 604 $6K
12 more codes
D0220 Intraoral - periapical first radiographic image 3.1% 750 $4K
D2332 2.4% 45 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.9% 44 $3K
D0330 Panoramic radiographic image 1.5% 118 $2K
D0272 Bitewings - two radiographic images 1.4% 166 $2K
D1208 Topical application of fluoride, excluding varnish 1.4% 247 $2K
D0140 Limited oral evaluation - problem focused 1.1% 96 $2K
D0145 Oral evaluation for a patient under three years of age <1% 14 $923.52
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 13 $176.28
D0210 Intraoral - complete series of radiographic images <1% 12 $31.90
D0602 0% 45 $0.00
D0603 0% 246 $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.