Clinic
Sujatha H De Silva DDS PC
Sujatha H De Silva DDS PC was paid $2K by Medicaid between Dec 2021 and Oct 2022, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 66% of everything it billed.
33Billing provider infoSUJATHA H DE SILVA DDS PC
PORT JERVIS, NY 12771
PORT JERVIS, NY 12771
33aNPI1447221627assigned 01/27/2006
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims62
24DCodes billed2
24AFirst – last monthDec 2021 – Oct 2022
Compared with peers
Next to other Dental Clinic/Center providers in New York
Rank by total paid#168 of 188
Median peer was paid$113K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 13 | $317.50 | |
| 2022 | 49 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 66% | 48 | 48 | $1K |
| D1110 | Prophylaxis - adult | 34% | 14 | 14 | $607.50 |
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 officialDE SILVA, SUJATHA (PRINCIPAL)
| Provider | Location | Paid |
|---|---|---|
| Sujatha H De Silva DDS PC | Staten Island, NY | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.