Dental
Makadia, Pravinchandra
Makadia, Pravinchandra was paid $282K by Medicaid between Jan 2018 and May 2023, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoMAKADIA, PRAVINCHANDRA
POMONA, CA 91766
POMONA, CA 91766
33aNPI1366476327assigned 07/10/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$282K
24GClaims11,889
24DCodes billed12
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,136 of 2,668
Median peer was paid$173K
This provider vs. median1.6×
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
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 | 3,120 | $38K | |
| 2019 | 1,739 | $33K | |
| 2020 | 1,228 | $25K | |
| 2021 | 2,501 | $68K | |
| 2022 | 2,344 | $84K | |
| 2023 | 957 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 598 | 597 | $50K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 984 | 980 | $50K |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 4,165 | 2,110 | $42K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,125 | 1,121 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 472 | 472 | $29K |
| D1208 | Topical application of fluoride, excluding varnish | 8.5% | 2,061 | 2,056 | $24K |
| D0272 | Bitewings - two radiographic images | 8.3% | 1,983 | 1,979 | $23K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.2% | 76 | 39 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.0% | 127 | 55 | $9K |
| D1351 | Sealant - per tooth | 2.0% | 266 | 57 | $6K |
| D0350 | <1% | 19 | 14 | $220.80 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 13 | $156.00 |
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.