Clinic
Patelka Dental LLC
Patelka Dental LLC was paid $407K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoPATELKA DENTAL LLC
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
33aNPI1386815785assigned 03/13/2008
33bProvider typeDental Clinic/Center
28Total paid$407K
24GClaims13,549
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Pennsylvania
Rank by total paid#19 of 78
Median peer was paid$70K
This provider vs. median5.8×
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 | 753 | $21K | |
| 2020 | 446 | $7K | |
| 2021 | 3,251 | $73K | |
| 2024incomplete | 9,099 | $306K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 2,619 | 2,559 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 1,084 | 481 | $65K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 3,361 | 3,281 | $64K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 1,240 | 1,195 | $46K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.3% | 509 | 192 | $26K |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 370 | 208 | $24K |
| D2751 | Crown - porcelain fused to predominantly base metal | 5.5% | 40 | 34 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 1,945 | 780 | $20K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.0% | 247 | 128 | $16K |
| D9110 | 3.0% | 412 | 392 | $12K | |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 1,288 | 1,251 | $10K |
| D0274 | Bitewings - four radiographic images | 1.6% | 241 | 239 | $6K |
5 more codes
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.
From NPPES
Who's on the registration
Authorized officialPATEL, RASIK (GENERAL DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Patelka Dental Management at Frankford | Phila, PA | $57K |
| Rasik L Patel MDPC | Bronx, NY | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.