Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Patel, Sheila

Patel, Sheila was paid $130K by Medicaid between May 2023 and Nov 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoPATEL, SHEILA
FAIRFIELD, NJ 07004
33aNPI1427133008assigned 10/25/2006
28Total paid$130K
24GClaims4,064
24DCodes billed9
24AFirst – last monthMay 2023 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#272 of 790
Median peer was paid$43K
This provider vs. median3.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20231,894$52K
2024incomplete2,170$79K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 30% 697 686 $39K
D9920 25% 689 652 $33K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 25% 751 738 $32K
D1208 Topical application of fluoride, excluding varnish 12% 518 492 $16K
D1206 Topical application of fluoride varnish 5.0% 435 362 $6K
D0220 Intraoral - periapical first radiographic image 1.2% 165 164 $2K
D0274 Bitewings - four radiographic images <1% 68 68 $1K
D0230 Intraoral - periapical each additional radiographic image <1% 108 108 $705.00
D0603 <1% 633 580 $638.00

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.