Supplier
DR Srujal H Shah DDS INC
DR Srujal H Shah DDS INC was paid $118K by Medicaid between Sep 2022 and Sep 2024, across 4 billing codes. Its largest line is E0486, Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment — 90% of everything it billed.
33Billing provider infoDR SRUJAL H SHAH DDS INC
SAN JOSE, CA 95138
SAN JOSE, CA 95138
33aNPI1639480973assigned 07/01/2010
33bProvider typeCustomized Equipment (DME)
28Total paid$118K
24GClaims449
24DCodes billed4
24AFirst – last monthSep 2022 – Sep 2024
Compared with peers
Next to other Customized Equipment (DME) providers in California
Rank by total paid#39 of 65
Median peer was paid$216K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2022 | 77 | $50K | |
| 2023 | 166 | $21K | |
| 2024incomplete | 206 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0486 | Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment | 90% | 38 | 38 | $106K |
| 92520 | 4.9% | 193 | 193 | $6K | |
| 92512 | 3.9% | 192 | 192 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 26 | 26 | $2K |
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 officialSHAH, SRUJAL (PRESIDENT)