Managed care
Darshini Shah DDS INC.
Darshini Shah DDS INC. was paid $526K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoDARSHINI SHAH DDS INC.
SAN JOSE, CA 95116
SAN JOSE, CA 95116
33aNPI1427469287assigned 05/14/2014
33bProvider typePreferred Provider Organization
28Total paid$526K
24GClaims21,966
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in California
Rank by total paid#24 of 100
Median peer was paid$80K
This provider vs. median6.6×
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 | 1,687 | $41K | |
| 2019 | 2,239 | $50K | |
| 2020 | 1,686 | $33K | |
| 2021 | 2,660 | $64K | |
| 2022 | 4,875 | $112K | |
| 2023 | 4,991 | $119K | |
| 2024incomplete | 3,828 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 1,222 | 1,206 | $104K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,550 | 1,543 | $98K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 1,165 | 1,156 | $73K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 1,261 | 1,257 | $53K |
| D0210 | Intraoral - complete series of radiographic images | 7.0% | 811 | 800 | $37K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 9,141 | 2,264 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 2,552 | 2,534 | $34K |
| D0274 | Bitewings - four radiographic images | 4.1% | 1,017 | 1,014 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 1,654 | 1,542 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 204 | 162 | $13K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.5% | 193 | 138 | $13K |
| D9430 | 2.0% | 333 | 331 | $11K |
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 officialSHAH, DARSHINI (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| DR. Darshini Shah, DDS PLLC | Jamaica, NY | $532K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.