Shah, Samir

Shah, Samir was paid $691K by Medicaid between Jan 2018 and Dec 2021, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 16% of everything it billed.

33Billing provider infoSHAH, SAMIR
RIALTO, CA 92376

33aNPI1457412611assigned 12/12/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$691K

24GClaims44,389

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#737 of 2,668

Median peer was paid$173K

This provider vs. median4.0×

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
2018	10,542	$134K
2019	12,120	$201K
2020	10,071	$167K
2021	11,656	$188K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	2,720	2,718	$112K
D0150	Comprehensive oral evaluation - new or established patient	14%	1,552	1,549	$95K
D0230	Intraoral - periapical each additional radiographic image	14%	24,002	4,289	$94K
D1120	Dental cleaning, childProphylaxis - child	11%	2,631	2,631	$78K
D1351	Sealant - per tooth	10%	3,403	887	$72K
D1110	Prophylaxis - adult	8.6%	675	675	$59K
D2150	Silver amalgam - two surfaces, primary or permanent	7.3%	755	395	$50K
D0272	Bitewings - two radiographic images	4.9%	2,929	2,927	$34K
D1208	Topical application of fluoride, excluding varnish	4.8%	3,379	3,379	$33K
D2140		3.8%	483	253	$26K
D0274	Bitewings - four radiographic images	3.0%	1,001	998	$21K
D0350		<1%	709	361	$6K

5 more codes

D4341		<1%	44	$3K
D7140	Extraction, erupted tooth or exposed root	<1%	49	$3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	<1%	16	$2K
D0330	Panoramic radiographic image	<1%	27	$810.00
D0220	Intraoral - periapical first radiographic image	<1%	14	$168.00

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.