DR.JATIN P. SHAH, D.D.S. , INC.
NPI: 1750560744
· LA HABRA, CA 90631
· General Practice Dentistry
· NPI assigned 10/26/2007
$187K
Total Medicaid Paid
Provider Details
| Authorized Official | SHAH, JATIN (OWNER) |
| NPI Enumeration Date | 10/26/2007 |
Related Entities
Other providers sharing the same authorized official: SHAH, JATIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,367 |
$32K |
| 2019 |
1,763 |
$24K |
| 2020 |
2,065 |
$25K |
| 2021 |
2,650 |
$31K |
| 2022 |
2,541 |
$36K |
| 2023 |
1,693 |
$26K |
| 2024 |
1,035 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9430 |
|
1,338 |
1,188 |
$42K |
| D0230 |
Intraoral - periapical each additional radiographic image |
8,417 |
1,853 |
$33K |
| D1110 |
Prophylaxis - adult |
344 |
343 |
$29K |
| D0120 |
Periodic oral evaluation - established patient |
535 |
533 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
262 |
261 |
$16K |
| D0274 |
Bitewings - four radiographic images |
600 |
598 |
$12K |
| D1206 |
Topical application of fluoride varnish |
719 |
718 |
$10K |
| D0350 |
|
1,158 |
541 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
577 |
556 |
$6K |
| D1120 |
Prophylaxis - child |
122 |
122 |
$4K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
13 |
12 |
$2K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$275.00 |
| D0270 |
|
17 |
16 |
$80.00 |