Dental
Pancholi, Chandravadan
Pancholi, Chandravadan was paid $62K by Medicaid between Jan 2018 and Aug 2018, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoPANCHOLI, CHANDRAVADAN
WARREN, MI 48093
WARREN, MI 48093
33aNPI1639127384assigned 05/05/2006
33bProvider typeDentist
28Total paid$62K
24GClaims1,640
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#323 of 1,033
Median peer was paid$15K
This provider vs. median4.1×
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 | 1,640 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 100 | 58 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 16% | 114 | 58 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 226 | 226 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 115 | 113 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 9.5% | 247 | 247 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.6% | 201 | 201 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 124 | 122 | $4K |
| D1110 | Prophylaxis - adult | 5.7% | 72 | 72 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 196 | 193 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 168 | 128 | $1K |
| D0272 | Bitewings - two radiographic images | 1.7% | 45 | 45 | $1K |
| D0274 | Bitewings - four radiographic images | 1.0% | 18 | 18 | $639.00 |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $471.46 |
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.