Patel, Prafulchandra

Patel, Prafulchandra was paid $346K by Medicaid between Jul 2018 and Nov 2021, across 17 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 22% of everything it billed.

33Billing provider infoPATEL, PRAFULCHANDRA
DOYLESTOWN, PA 18901

33aNPI1639293582assigned 03/18/2007

33bProvider typeDentist

28Total paid$346K

24GClaims10,493

24DCodes billed17

24AFirst – last monthJul 2018 – Nov 2021

Compared with peers

Next to other Dentist providers in Pennsylvania

Rank by total paid#78 of 683

Median peer was paid$34K

This provider vs. median10×

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	52	$1K
2020	1,276	$54K
2021	9,165	$291K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	22%	1,319	678	$75K
D2391	Resin-based composite - one surface, posterior, primary or permanent	14%	1,059	526	$48K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	12%	772	483	$41K
D1110	Prophylaxis - adult	11%	1,072	1,064	$38K
D0330	Panoramic radiographic image	9.8%	951	949	$34K
D0274	Bitewings - four radiographic images	7.3%	945	935	$25K
D0150	Comprehensive oral evaluation - new or established patient	6.8%	1,195	1,193	$23K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.0%	706	703	$14K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	2.5%	143	116	$8K
D2330		2.3%	187	104	$8K
D5214		2.2%	16	14	$8K
D0220	Intraoral - periapical first radiographic image	2.0%	901	891	$7K

5 more codes

D0230	Intraoral - periapical each additional radiographic image	1.7%	764	$6K
D1120	Dental cleaning, child	1.3%	161	$5K
D1208	Topical application of fluoride, excluding varnish	1.2%	252	$4K
D0210	Intraoral - complete series of radiographic images	<1%	32	$1K
D2331		<1%	18	$1K

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.