DR SRUJAL H SHAH DDS INC
NPI: 1639480973
· SAN JOSE, CA 95138
· Customized Equipment (DME)
· NPI assigned 07/01/2010
$118K
Total Medicaid Paid
Provider Details
| Authorized Official | SHAH, SRUJAL (PRESIDENT) |
| NPI Enumeration Date | 07/01/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
77 |
$50K |
| 2023 |
166 |
$21K |
| 2024 |
206 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0486 |
Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment |
38 |
38 |
$106K |
| 92520 |
|
193 |
193 |
$6K |
| 92512 |
|
192 |
192 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |