Dental
Sivaraman, Sujatha
Sivaraman, Sujatha was paid $860K by Medicaid between Jan 2018 and Jun 2020, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 34% of everything it billed.
33Billing provider infoSIVARAMAN, SUJATHA
COLUMBIA, MO 65201
COLUMBIA, MO 65201
33aNPI1477543932assigned 10/26/2005
33bProvider typePediatric Dentist
28Total paid$860K
24GClaims13,310
24DCodes billed21
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Pediatric Dentist providers in Missouri
Rank by total paid#7 of 39
Median peer was paid$73K
This provider vs. median12×
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 | 5,977 | $471K | |
| 2019 | 5,893 | $332K | |
| 2020 | 1,440 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 34% | 1,583 | 471 | $290K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,363 | 2,243 | $107K |
| D1206 | Topical application of fluoride varnish | 10% | 2,261 | 2,145 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 1,834 | 1,738 | $71K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 433 | 305 | $55K |
| D7140 | Extraction, erupted tooth or exposed root | 5.7% | 398 | 191 | $49K |
| D1351 | Sealant - per tooth | 3.8% | 788 | 301 | $33K |
| D0274 | Bitewings - four radiographic images | 3.4% | 614 | 584 | $29K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 509 | 461 | $28K |
| D0272 | Bitewings - two radiographic images | 2.9% | 742 | 720 | $25K |
| D0330 | Panoramic radiographic image | 2.4% | 251 | 234 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 301 | 299 | $18K |
9 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 648 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 316 | $8K |
| D9420 | <1% | 29 | $7K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 53 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 48 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 94 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 20 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $312.00 |
| D9995 | <1% | 13 | $234.00 |
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.