Kodali, Sireesha
Kodali, Sireesha was paid $1K by Medicaid between Nov 2018 and Nov 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoKODALI, SIREESHA
CHANDLER, AZ 85224
CHANDLER, AZ 85224
33aNPI1447608443assigned 05/31/2016
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$1K
24GClaims14,795
24DCodes billed18
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Arizona
Rank by total paid#25 of 53
Median peer was paid$859.04
This provider vs. median1.2×
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
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 | 40 | $0.00 | |
| 2019 | 831 | $0.00 | |
| 2020 | 1,987 | $0.00 | |
| 2021 | 3,268 | $1K | |
| 2022 | 2,716 | $0.00 | |
| 2023 | 3,570 | $0.00 | |
| 2024incomplete | 2,383 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 1,933 | 1,887 | $332.48 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 2,082 | 2,043 | $230.88 |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 990 | 946 | $176.67 |
| D0272 | Bitewings - two radiographic images | 11% | 982 | 961 | $117.78 |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 1,193 | 1,131 | $115.40 |
| D0220 | Intraoral - periapical first radiographic image | 7.7% | 1,649 | 1,602 | $80.78 |
| D1999 | 0% | 2,893 | 2,603 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 143 | 139 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 187 | 186 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 156 | 154 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 42 | 25 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 29 | 27 | $0.00 |
6 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 61 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 1,196 | $0.00 |
| D0603 | 0% | 1,012 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 121 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 97 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 29 | $0.00 |
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.