S. VAKIL DDS MS IV, PA

NPI: 1265199921 · CHARLOTTE, NC 28217 · Pediatric Dentist · NPI assigned 11/17/2021

$19K

Total Medicaid Paid

811

Total Claims

792

Beneficiary Records

Codes Billed

2023-05

First Month

2024-12

Last Month

Provider Details

Authorized Official	VAKIL, SHAMIK (OWNER)
NPI Enumeration Date	11/17/2021

Other providers sharing the same authorized official: VAKIL, SHAMIK

Provider	City	State	Total Paid
S VAKIL DDS I PA	RALEIGH	NC	$1.50M
S VAKIL DDS II PA	RALEIGH	NC	$801K
S. VAKIL DDS MS I, PA	CHARLOTTE	NC	$789K
S VAKIL DDS MS III PA	MOORESVILLE	NC	$587K
S. VAKIL DDS MS V, PA	MORRISVILLE	NC	$430K
S. VAKIL DDS MS VI, PA	RALEIGH	NC	$349K
S. VAKIL DDS MS II, PA	DAVIDSON	NC	$176K

Year	Claims	Total Paid
2023	88	$2K
2024	723	$16K

Code	Description	Claims	Bene. Records	Total Paid
D1120	Prophylaxis - child	185	182	$5K
D0150	Comprehensive oral evaluation - new or established patient	104	101	$5K
D1206	Topical application of fluoride varnish	145	142	$2K
D0220	Intraoral - periapical first radiographic image	103	99	$2K
D0120	Periodic oral evaluation - established patient	54	54	$1K
D0272	Bitewings - two radiographic images	80	78	$1K
D0230	Intraoral - periapical each additional radiographic image	98	94	$1K
D1208	Topical application of fluoride, excluding varnish	42	42	$726.18