Rugova, Sihana

Rugova, Sihana was paid $221K by Medicaid between Mar 2020 and Dec 2021, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.

33Billing provider infoRUGOVA, SIHANA
HOPE VALLEY, RI 02832

33aNPI1346788536assigned 02/07/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$221K

24GClaims2,805

24DCodes billed13

24AFirst – last monthMar 2020 – Dec 2021

Compared with peers

Next to other General Practice Dentistry providers in Rhode Island

Rank by total paid#33 of 86

Median peer was paid$77K

This provider vs. median2.9×

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
2020	538	$61K
2021	2,267	$159K

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	94%	1,459	1,194	$207K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.4%	162	83	$3K
D1206	Topical application of fluoride varnish	1.4%	196	95	$3K
D1120	Dental cleaning, childProphylaxis - child	<1%	93	47	$2K
D1110	Prophylaxis - adult	<1%	217	168	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	219	147	$1K
D0274	Bitewings - four radiographic images	<1%	143	98	$840.00
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	38	12	$660.00
D7140	Extraction, erupted tooth or exposed root	<1%	93	40	$630.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	26	18	$270.00
D0220	Intraoral - periapical first radiographic image	<1%	112	94	$156.00
D0140	Limited oral evaluation - problem focused	<1%	35	33	$50.00

1 more codes

D0210

Intraoral - complete series of radiographic images

$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.