Dental
Patel, Pratik
Patel, Pratik was paid $239K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 34% of everything it billed.
33Billing provider infoPATEL, PRATIK
SPRINGFIELD, IL 62703
SPRINGFIELD, IL 62703
33aNPI1598147027assigned 06/20/2015
33bProvider typeDentist
28Total paid$239K
24GClaims6,869
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#469 of 1,099
Median peer was paid$160K
This provider vs. median1.5×
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 | 1,666 | $45K | |
| 2019 | 1,036 | $39K | |
| 2020 | 468 | $17K | |
| 2021 | 497 | $23K | |
| 2022 | 779 | $37K | |
| 2023 | 2,218 | $74K | |
| 2024incomplete | 205 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 34% | 999 | 426 | $81K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 1,551 | 1,518 | $31K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 865 | 841 | $30K |
| D1351 | Sealant - per tooth | 7.8% | 589 | 68 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.1% | 330 | 132 | $17K |
| D1110 | Prophylaxis - adult | 4.6% | 389 | 385 | $11K |
| D0330 | Panoramic radiographic image | 3.9% | 270 | 266 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 184 | 184 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.4% | 91 | 52 | $6K |
| D0274 | Bitewings - four radiographic images | 1.7% | 262 | 259 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.7% | 79 | 34 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 287 | 285 | $4K |
10 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 90 | $4K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 144 | $3K |
| D0120 | Dental checkup, returning patient | <1% | 80 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 64 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 261 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 245 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 32 | $1K |
| D2950 | <1% | 20 | $1K | |
| D2140 | <1% | 25 | $894.65 | |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $112.80 |
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.