Dental
Shah, Kishore
Shah, Kishore was paid $25K by Medicaid between Jan 2018 and Nov 2023, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoSHAH, KISHORE
CANOGA PARK, CA 91303
CANOGA PARK, CA 91303
33aNPI1871645101assigned 01/17/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$25K
24GClaims4,918
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,985 of 2,668
Median peer was paid$173K
This provider vs. median0.1×
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 | 1,070 | $2K | |
| 2019 | 1,502 | $4K | |
| 2020 | 272 | $1K | |
| 2021 | 490 | $2K | |
| 2022 | 913 | $8K | |
| 2023 | 671 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 179 | 175 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 363 | 358 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 185 | 180 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 270 | 267 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 1,285 | 1,146 | $2K |
| D0272 | Bitewings - two radiographic images | 8.0% | 929 | 912 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 271 | 268 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 1,195 | 992 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 27 | 13 | $527.40 |
| D0274 | Bitewings - four radiographic images | <1% | 47 | 47 | $100.80 |
| D1330 | 0% | 167 | 166 | $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.