Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PATEL DENTAL CORP,

NPI: 1265697239 · HEMET, CA 92544 · Dentist · NPI assigned 07/18/2008

$7K
Total Medicaid Paid
337
Total Claims
269
Beneficiaries
7
Codes Billed
2018-02
First Month
2019-05
Last Month

Provider Details

Authorized OfficialPATEL, SHAILESH (PRESIDENT)
NPI Enumeration Date07/18/2008

Related Entities

Other providers sharing the same authorized official: PATEL, SHAILESH

ProviderCityStateTotal Paid
COLUMBUS CARDIOVASCULAR ASSOCIATES, INC. GAHANNA OH $346.05

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 166 $1K
2019 171 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 42 42 $3K
D0120 Periodic oral evaluation - established patient 46 46 $1K
D0210 Intraoral - complete series of radiographic images 25 25 $1K
D1208 Topical application of fluoride, excluding varnish 65 65 $590.00
D1120 Prophylaxis - child 15 15 $450.00
D0230 Intraoral - periapical each additional radiographic image 132 64 $437.10
D0274 Bitewings - four radiographic images 12 12 $259.20