Patel, Swalika

Patel, Swalika was paid $157K by Medicaid between Jan 2018 and Apr 2019, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 30% of everything it billed.

33Billing provider infoPATEL, SWALIKA
CRANSTON, RI 02920

33aNPI1710386651assigned 08/16/2014

33bProvider typeDentist

28Total paid$157K

24GClaims4,561

24DCodes billed16

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Dentist providers in Rhode Island

Rank by total paid#42 of 93

Median peer was paid$115K

This provider vs. median1.4×

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	3,843	$129K
2019	718	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	30%	538	496	$48K
D1120	Dental cleaning, childProphylaxis - child	16%	627	439	$25K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	543	326	$25K
D1206	Topical application of fluoride varnish	11%	496	328	$17K
D2391	Resin-based composite - one surface, posterior, primary or permanent	7.3%	309	179	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.1%	840	652	$11K
D0274	Bitewings - four radiographic images	4.9%	427	336	$8K
D1351	Sealant - per tooth	4.1%	424	129	$6K
D0272	Bitewings - two radiographic images	<1%	115	81	$1K
D1208	Topical application of fluoride, excluding varnish	<1%	69	54	$1K
D0150	Comprehensive oral evaluation - new or established patient	<1%	35	25	$980.00
D7140	Extraction, erupted tooth or exposed root	<1%	27	14	$789.00

4 more codes

D0431		<1%	41	$656.00
D1110	Prophylaxis - adult	<1%	19	$320.00
D0140	Limited oral evaluation - problem focused	<1%	25	$255.00
D0220	Intraoral - periapical first radiographic image	<1%	26	$206.00

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.