Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Chester Springs › NPI 1255747895
Dental

Patel, Sheetal

Patel, Sheetal was paid $261K by Medicaid between Oct 2020 and Nov 2021, across 13 billing codes. Its largest line is D1351, Sealant - per tooth — 29% of everything it billed.

33Billing provider infoPATEL, SHEETAL
CHESTER SPRINGS, PA 19425
33aNPI1255747895assigned 07/03/2014
33bProvider typeDentist
28Total paid$261K
24GClaims13,140
24DCodes billed13
24AFirst – last monthOct 2020 – Nov 2021
Compared with peers

Next to other Dentist providers in Pennsylvania

Rank by total paid#103 of 683
Median peer was paid$34K
This provider vs. median7.6×

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

$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
20202,301$43K
202110,839$217K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 29% 3,344 613 $75K
D1110 Prophylaxis - adult 14% 1,113 1,108 $37K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 1,626 1,621 $31K
D0274 Bitewings - four radiographic images 11% 1,124 1,119 $30K
D1120 Dental cleaning, childProphylaxis - child 8.4% 945 944 $22K
D1208 Topical application of fluoride, excluding varnish 7.9% 1,352 1,347 $21K
D0150 Comprehensive oral evaluation - new or established patient 4.5% 618 617 $12K
D0220 Intraoral - periapical first radiographic image 3.4% 1,170 1,162 $9K
D0230 Intraoral - periapical each additional radiographic image 3.1% 1,095 917 $8K
D0272 Bitewings - two radiographic images 3.0% 509 505 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.3% 64 38 $3K
D0210 Intraoral - complete series of radiographic images 1.1% 69 69 $3K
1 more codes
D0140 Limited oral evaluation - problem focused <1% 111 $2K

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.