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

Patel, Shivani

Patel, Shivani was paid $631K by Medicaid between Jul 2019 and Sep 2023, across 16 billing codes. Its largest line is D1351, Sealant - per tooth — 24% of everything it billed.

33Billing provider infoPATEL, SHIVANI
PROVIDENCE, RI 02908
33aNPI1427571900assigned 07/17/2017
28Total paid$631K
24GClaims20,452
24DCodes billed16
24AFirst – last monthJul 2019 – Sep 2023
Compared with peers

Next to other General Practice Dentistry providers in Rhode Island

Rank by total paid#20 of 86
Median peer was paid$77K
This provider vs. median8.2×

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$20K$40K2018201920202021202220232024
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
2019497$10K
20202,002$38K
20216,833$219K
20227,244$233K
20233,876$132K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 24% 2,114 1,005 $152K
D1120 Dental cleaning, childProphylaxis - child 21% 3,407 3,194 $135K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 3,564 3,337 $97K
D1208 Topical application of fluoride, excluding varnish 13% 3,167 2,960 $79K
D0274 Bitewings - four radiographic images 4.9% 2,160 2,036 $31K
D4341 4.8% 203 101 $30K
D0150 Comprehensive oral evaluation - new or established patient 4.4% 1,279 1,201 $28K
D0330 Panoramic radiographic image 3.9% 1,268 1,211 $25K
D1110 Prophylaxis - adult 3.3% 490 476 $21K
D1354 2.2% 552 387 $14K
D0210 Intraoral - complete series of radiographic images 1.4% 446 402 $9K
D0220 Intraoral - periapical first radiographic image <1% 800 674 $4K
4 more codes
D0230 Intraoral - periapical each additional radiographic image <1% 707 $3K
D0272 Bitewings - two radiographic images <1% 238 $2K
D0140 Limited oral evaluation - problem focused <1% 41 $690.48
D2140 <1% 16 $678.70

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.