Shrivastava, Ashutosh

Shrivastava, Ashutosh was paid $2K by Medicaid between Jan 2018 and Jan 2018, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.

33Billing provider infoSHRIVASTAVA, ASHUTOSH
MEXICO, MO 65265

33aNPI1881982833assigned 07/12/2011

33bProvider typeDentist

28Total paid$2K

24GClaims103

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2018

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#251 of 284

Median peer was paid$109K

This provider vs. median0.0×

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

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	103	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	35%	21	21	$855.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	33	33	$783.75
D0274	Bitewings - four radiographic images	18%	19	19	$442.70
D0220	Intraoral - periapical first radiographic image	16%	30	30	$393.30

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.