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

Pankaj K. Patel, DMD & Shailesh K. Patel, DDS a Prof Corp

Pankaj K. Patel, DMD & Shailesh K. Patel, DDS a Prof Corp was paid $33.11M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.

33Billing provider infoPANKAJ K. PATEL, DMD & SHAILESH K. PATEL, DDS A PROF CORP
SALIDA, CA 95368
33aNPI1588875967assigned 05/25/2007
33bProvider typeDental Clinic/Center
28Total paid$33.11M
24GClaims391,021
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in California

Rank by total paid#4 of 1,135
Median peer was paid$200K
This provider vs. median165×

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$200K$400K$600K2018201920202021202220232024
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
201867,659$4.10M
201967,113$4.87M
202043,310$4.04M
202154,839$5.20M
202255,548$4.96M
202353,032$4.97M
2024incomplete49,520$4.98M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 20% 56,451 12,067 $6.63M
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 13% 10,997 10,784 $4.43M
00170 Anesthesia for intraoral procedures, including biopsy 11% 9,523 9,490 $3.57M
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 9.8% 32,848 9,566 $3.23M
D7140 Extraction, erupted tooth or exposed root 6.0% 34,958 9,332 $1.97M
D9420 5.0% 17,586 16,671 $1.65M
D9610 4.1% 16,427 16,260 $1.36M
D9222 4.0% 10,800 10,794 $1.32M
D9221 3.8% 5,356 5,127 $1.27M
D9220 3.4% 5,301 5,292 $1.13M
D2150 Silver amalgam - two surfaces, primary or permanent 3.1% 15,261 6,443 $1.01M
D0150 Comprehensive oral evaluation - new or established patient 2.4% 12,500 12,476 $787K
45 more codes
D2330 2.1% 9,213 $705K
D0350 1.5% 22,166 $504K
D0230 Intraoral - periapical each additional radiographic image 1.5% 44,146 $494K
D1510 1.4% 3,279 $475K
D2140 1.2% 7,455 $403K
0360 1.1% 3,415 $348K
41899 Unlisted procedure, dentoalveolar structures <1% 5,121 $284K
99213 Doctor's office visit, returning patient (routine) <1% 3,646 $267K
D1351 Sealant - per tooth <1% 8,067 $237K
D0272 Bitewings - two radiographic images <1% 15,447 $179K
D1120 Dental cleaning, child <1% 4,806 $165K
D1310 <1% 2,630 $95K
D1206 Topical application of fluoride varnish <1% 4,765 $83K
0160 <1% 2,207 $81K
D0120 Dental checkup, returning patient <1% 1,344 $60K
0760 <1% 2,645 $57K
0710 <1% 2,998 $51K
A4649 Surgical supply; miscellaneous <1% 2,128 $45K
J7120 Ringers lactate infusion, up to 1000 cc <1% 5,152 $40K
D2331 <1% 501 $40K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,056 $35K
D9430 <1% 637 $17K
J2704 Injection, propofol, 10 mg <1% 2,882 $16K
0490 <1% 372 $14K
D0145 Oral evaluation for a patient under three years of age <1% 228 $12K
D0603 <1% 2,497 $11K
99199 Unlisted special service, procedure or report <1% 102 $5K
D2160 <1% 57 $4K
0761 <1% 163 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 632 $3K
D0220 Intraoral - periapical first radiographic image <1% 171 $2K
Z7506 <1% 15 $1K
D1208 Topical application of fluoride, excluding varnish <1% 170 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 164 $810.57
J3490 Unclassified drugs <1% 64 $599.75
Z7514 <1% 15 $556.95
G0378 Hospital observation service, per hour <1% 19 $451.63
D0274 Bitewings - four radiographic images <1% 24 $345.60
Z7500 <1% 15 $324.90
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 70 $318.99
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 39 $309.65
J7642 Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram <1% 21 $281.04
J3010 Injection, fentanyl citrate, 0.1 mg <1% 54 $275.49
Z7512 <1% 15 $248.85
D9993 0% 2,400 $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.

From NPPES

Who's on the registration

Authorized officialCASSARA, KIMBERLY (ADMINISTRATOR)