Desilva, Sujatha

Desilva, Sujatha was paid $8K by Medicaid between Jan 2018 and Jun 2021, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 64% of everything it billed.

33Billing provider infoDESILVA, SUJATHA
PORT JERVIS, NY 12771

33aNPI1639251846assigned 10/19/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims323

24DCodes billed3

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,617 of 2,184

Median peer was paid$54K

This provider vs. median0.2×

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	65	$1K
2019	38	$920.25
2020	85	$2K
2021	135	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	64%	230	229	$5K
D1110	Prophylaxis - adult	31%	66	66	$3K
D1208	Topical application of fluoride, excluding varnish	4.1%	27	27	$334.80

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.