Dental
Pande, Raj
Pande, Raj was paid $2.10M by Medicaid between Jan 2020 and Dec 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoPANDE, RAJ
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1215044458assigned 08/24/2006
33bProvider typePublic Health Dentist
28Total paid$2.10M
24GClaims53,199
24DCodes billed30
24AFirst – last monthJan 2020 – Dec 2024
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 | |
|---|---|---|---|
| 2020 | 7,714 | $283K | |
| 2021 | 5,928 | $334K | |
| 2022 | 6,935 | $412K | |
| 2023 | 7,109 | $393K | |
| 2024incomplete | 25,513 | $681K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 76% | 11,795 | 9,122 | $1.59M |
| D1206 | Topical application of fluoride varnish | 4.8% | 5,450 | 3,013 | $101K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.4% | 3,865 | 2,279 | $93K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 1,531 | 844 | $59K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 2,452 | 1,265 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.9% | 6,681 | 3,496 | $40K |
| D0274 | Bitewings - four radiographic images | 1.3% | 2,755 | 2,053 | $28K |
| D0330 | Panoramic radiographic image | 1.3% | 542 | 534 | $26K |
| D1110 | Prophylaxis - adult | 1.2% | 3,838 | 2,835 | $24K |
| D1351 | Sealant - per tooth | 1.1% | 1,723 | 391 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,658 | 1,070 | $17K |
| D1354 | <1% | 776 | 179 | $13K |
18 more codes
| D0272 | Bitewings - two radiographic images | <1% | 683 | $12K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,441 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,110 | $6K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 829 | $2K |
| D2940 | <1% | 360 | $2K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 363 | $2K |
| D2140 | <1% | 531 | $2K | |
| D7111 | <1% | 52 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 110 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 24 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 92 | $216.00 |
| D2330 | <1% | 29 | $100.00 | |
| D1330 | 0% | 1,679 | $0.00 | |
| D0603 | 0% | 505 | $0.00 | |
| D1310 | 0% | 102 | $0.00 | |
| D0602 | 0% | 1,115 | $0.00 | |
| D0601 | 0% | 26 | $0.00 | |
| D9992 | 0% | 82 | $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.