Dental
Bansal, Ritika
Bansal, Ritika was paid $105K by Medicaid between Oct 2019 and Jun 2020, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoBANSAL, RITIKA
WASHINGTON, DC 20010
WASHINGTON, DC 20010
33aNPI1790262079assigned 07/19/2018
33bProvider typeDentist
28Total paid$105K
24GClaims3,917
24DCodes billed16
24AFirst – last monthOct 2019 – Jun 2020
Compared with peers
Next to other Dentist providers in District of Columbia
Rank by total paid#19 of 66
Median peer was paid$30K
This provider vs. median3.5×
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 | 1,647 | $46K | |
| 2020 | 2,270 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 410 | 193 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 396 | 341 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 411 | 342 | $11K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.0% | 153 | 74 | $9K |
| D1351 | Sealant - per tooth | 8.4% | 219 | 78 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.8% | 204 | 91 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 7.4% | 298 | 249 | $8K |
| D0274 | Bitewings - four radiographic images | 4.3% | 325 | 248 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 189 | 128 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 538 | 408 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 524 | 377 | $2K |
| D1206 | Topical application of fluoride varnish | 1.5% | 64 | 60 | $2K |
4 more codes
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.