Pandya, Priyanka

Pandya, Priyanka was paid $281K by Medicaid between Apr 2018 and Aug 2022, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoPANDYA, PRIYANKA
WESTMONT, IL 60559

33aNPI1902257595assigned 06/25/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$281K

24GClaims12,101

24DCodes billed18

24AFirst – last monthApr 2018 – Aug 2022

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#374 of 1,017

Median peer was paid$123K

This provider vs. median2.3×

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	2,028	$38K
2019	5,422	$136K
2020	625	$16K
2021	2,528	$59K
2022	1,498	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	30%	2,152	2,061	$83K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	2,047	1,971	$54K
D1208	Topical application of fluoride, excluding varnish	15%	1,682	1,603	$42K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.1%	368	263	$26K
D1351	Sealant - per tooth	8.8%	345	213	$25K
D0274	Bitewings - four radiographic images	4.5%	783	750	$13K
D0220	Intraoral - periapical first radiographic image	3.6%	1,871	1,775	$10K
D0230	Intraoral - periapical each additional radiographic image	2.4%	1,637	1,553	$7K
D0150	Comprehensive oral evaluation - new or established patient	1.7%	241	235	$5K
D0272	Bitewings - two radiographic images	1.5%	454	434	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.2%	55	52	$3K
D1206	Topical application of fluoride varnish	1.1%	127	126	$3K

6 more codes

D0140	Limited oral evaluation - problem focused	1.1%	218	$3K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	27	$2K
D1110	Prophylaxis - adult	<1%	30	$1K
D0330	Panoramic radiographic image	<1%	37	$687.54
D9310		<1%	12	$205.20
D0270		<1%	15	$84.00

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.