Dental
Jain, Prathi
Jain, Prathi was paid $40K by Medicaid between Aug 2019 and Sep 2020, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 13% of everything it billed.
33Billing provider infoJAIN, PRATHI
WAUWATOSA, WI 53222
WAUWATOSA, WI 53222
33aNPI1720549660assigned 03/25/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$40K
24GClaims3,500
24DCodes billed13
24AFirst – last monthAug 2019 – Sep 2020
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#94 of 208
Median peer was paid$26K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2019 | 1,285 | $17K | |
| 2020 | 2,215 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 13% | 217 | 214 | $5K |
| D0274 | Bitewings - four radiographic images | 11% | 269 | 266 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 312 | 309 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 569 | 551 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 205 | 204 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.9% | 198 | 196 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 9.2% | 293 | 291 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.5% | 777 | 466 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.0% | 84 | 50 | $3K |
| D0272 | Bitewings - two radiographic images | 2.9% | 91 | 91 | $1K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 73 | 68 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 16 | 12 | $863.80 |
1 more codes
| D1999 | 0% | 396 | $0.00 |
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.