Kotdawala, Maulik

Kotdawala, Maulik was paid $4.62M by Medicaid between Jan 2018 and Aug 2023, across 17 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 infoKOTDAWALA, MAULIK
JOHNSTON, RI 02919

33aNPI1265661417assigned 07/09/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$4.62M

24GClaims99,486

24DCodes billed17

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other General Practice Dentistry providers in Rhode Island

Rank by total paid#2 of 86

Median peer was paid$77K

This provider vs. median60×

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
2018	14,160	$746K
2019	7,644	$256K
2020	17,407	$763K
2021	23,027	$1.05M
2022	24,964	$1.19M
2023	12,284	$613K

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%	24,269	21,679	$3.51M
D1206	Topical application of fluoride varnish	9.0%	19,768	12,709	$414K
D1120	Dental cleaning, childProphylaxis - child	8.3%	15,734	10,597	$383K
D1351	Sealant - per tooth	3.5%	14,246	2,781	$161K
D1110	Prophylaxis - adult	2.1%	13,145	11,325	$98K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	2,200	1,766	$12K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	716	420	$10K
D0274	Bitewings - four radiographic images	<1%	1,694	1,346	$10K
D0140	Limited oral evaluation - problem focused	<1%	2,939	2,549	$7K
D2140		<1%	420	217	$5K
D0150	Comprehensive oral evaluation - new or established patient	<1%	455	379	$3K
D0210	Intraoral - complete series of radiographic images	<1%	488	432	$3K

5 more codes

D0220	Intraoral - periapical first radiographic image	<1%	2,465	$2K
D9992		<1%	497	$560.00
D7140	Extraction, erupted tooth or exposed root	<1%	388	$405.00
D4341		<1%	48	$200.00
D2160		0%	14	$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.