Dental
Jolly Shah, DDS, Dental Corporation
Jolly Shah, DDS, Dental Corporation was paid $490K by Medicaid between Jan 2019 and Dec 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoJOLLY SHAH, DDS, DENTAL CORPORATION
SAN JOSE, CA 95127
SAN JOSE, CA 95127
33aNPI1881068666assigned 11/17/2015
33bProvider typeDentist
28Total paid$490K
24GClaims20,399
24DCodes billed19
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#791 of 2,314
Median peer was paid$185K
This provider vs. median2.6×
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 | 710 | $15K | |
| 2020 | 1,088 | $23K | |
| 2021 | 2,120 | $45K | |
| 2022 | 3,727 | $108K | |
| 2023 | 4,868 | $121K | |
| 2024incomplete | 7,886 | $178K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,200 | 1,199 | $87K |
| D1110 | Prophylaxis - adult | 15% | 813 | 813 | $73K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 906 | 906 | $60K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,165 | 1,164 | $54K |
| D0350 | 11% | 5,564 | 1,827 | $52K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.6% | 479 | 281 | $32K |
| D0210 | Intraoral - complete series of radiographic images | 6.1% | 651 | 651 | $30K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 5,715 | 1,589 | $23K |
| D0274 | Bitewings - four radiographic images | 4.4% | 1,066 | 1,065 | $21K |
| D0330 | Panoramic radiographic image | 4.2% | 682 | 682 | $20K |
| D1206 | Topical application of fluoride varnish | 3.3% | 958 | 958 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 1,020 | 1,017 | $15K |
7 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 58 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | $2K |
| D4910 | <1% | 12 | $924.00 | |
| D1351 | Sealant - per tooth | <1% | 29 | $638.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 36 | $420.00 |
| D0272 | Bitewings - two radiographic images | <1% | 13 | $156.00 |
| D1999 | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialSHAH, JOLLY (PRESIDENT)