Gupta, Prafull Das

Gupta, Prafull Das was paid $26K by Medicaid between Aug 2023 and Nov 2023, across 6 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 infoGUPTA, PRAFULL DAS
BURLINGTON, WA 98233

33aNPI1215691316assigned 10/25/2021

33bProvider typeDentist

28Total paid$26K

24GClaims653

24DCodes billed6

24AFirst – last monthAug 2023 – Nov 2023

Compared with peers

Next to other Dentist providers in Washington

Rank by total paid#178 of 335

Median peer was paid$30K

This provider vs. median0.9×

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

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
2023	653	$26K

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%	175	162	$20K
D0150	Comprehensive oral evaluation - new or established patient	7.0%	122	62	$2K
D0274	Bitewings - four radiographic images	6.3%	134	80	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.5%	128	102	$1K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.7%	27	12	$975.00
D0272	Bitewings - two radiographic images	2.8%	67	46	$728.00

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.