Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Bristol › NPI 1790190742
Dental

Patel, Hiralben

Patel, Hiralben was paid $103K by Medicaid between Nov 2020 and Nov 2021, across 12 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 19% of everything it billed.

33Billing provider infoPATEL, HIRALBEN
BRISTOL, PA 19007
33aNPI1790190742assigned 06/29/2014
33bProvider typeDentist
28Total paid$103K
24GClaims4,559
24DCodes billed12
24AFirst – last monthNov 2020 – Nov 2021
Compared with peers

Next to other Dentist providers in Pennsylvania

Rank by total paid#205 of 683
Median peer was paid$34K
This provider vs. median3.0×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2020553$12K
20214,006$91K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0274 Bitewings - four radiographic images 19% 729 726 $19K
D1110 Prophylaxis - adult 18% 554 553 $18K
D2391 Resin-based composite - one surface, posterior, primary or permanent 15% 337 142 $15K
D0330 Panoramic radiographic image 11% 323 323 $11K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.5% 461 458 $9K
D7140 Extraction, erupted tooth or exposed root 6.8% 136 28 $7K
D0150 Comprehensive oral evaluation - new or established patient 6.5% 348 348 $7K
D0220 Intraoral - periapical first radiographic image 5.6% 755 751 $6K
D0230 Intraoral - periapical each additional radiographic image 5.5% 763 761 $6K
D2330 3.5% 80 41 $4K
D1208 Topical application of fluoride, excluding varnish <1% 54 53 $845.12
D1120 Dental cleaning, childProphylaxis - child <1% 19 19 $422.90

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.