JOLLY SHAH, DDS, DENTAL CORPORATION
NPI: 1881068666
· SAN JOSE, CA 95127
· 122300000X
$490K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
710 |
$15K |
| 2020 |
1,088 |
$23K |
| 2021 |
2,120 |
$45K |
| 2022 |
3,727 |
$108K |
| 2023 |
4,868 |
$121K |
| 2024 |
7,886 |
$178K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
1,200 |
1,199 |
$87K |
| D1110 |
|
813 |
813 |
$73K |
| D0150 |
|
906 |
906 |
$60K |
| D1120 |
|
1,165 |
1,164 |
$54K |
| D0350 |
|
5,564 |
1,827 |
$52K |
| D2392 |
|
479 |
281 |
$32K |
| D0210 |
|
651 |
651 |
$30K |
| D0230 |
|
5,715 |
1,589 |
$23K |
| D0274 |
|
1,066 |
1,065 |
$21K |
| D0330 |
|
682 |
682 |
$20K |
| D1206 |
|
958 |
958 |
$16K |
| D1208 |
|
1,020 |
1,017 |
$15K |
| D2391 |
|
58 |
39 |
$3K |
| D2393 |
|
20 |
14 |
$2K |
| D4910 |
|
12 |
12 |
$924.00 |
| D1351 |
|
29 |
12 |
$638.00 |
| D0220 |
|
36 |
36 |
$420.00 |
| D0272 |
|
13 |
13 |
$156.00 |
| D1999 |
|
12 |
12 |
$0.00 |