Bansal, Shobhit

Bansal, Shobhit was paid $66K by Medicaid between Sep 2020 and Aug 2022, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 20% of everything it billed.

33Billing provider infoBANSAL, SHOBHIT
HUNTLEY, IL 60142

33aNPI1972918308assigned 06/24/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$66K

24GClaims1,929

24DCodes billed14

24AFirst – last monthSep 2020 – Aug 2022

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#625 of 1,017

Median peer was paid$123K

This provider vs. median0.5×

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
2020	65	$1K
2021	1,613	$57K
2022	251	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	20%	615	573	$13K
D4341		17%	57	28	$11K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	15%	96	54	$10K
D0210	Intraoral - complete series of radiographic images	14%	366	338	$9K
D1120	Dental cleaning, childProphylaxis - child	13%	223	210	$9K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.0%	54	44	$4K
D1208	Topical application of fluoride, excluding varnish	4.6%	121	107	$3K
D1110	Prophylaxis - adult	2.8%	56	54	$2K
D0140	Limited oral evaluation - problem focused	2.6%	106	94	$2K
D0330	Panoramic radiographic image	2.2%	91	82	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.6%	38	38	$1K
D0220	Intraoral - periapical first radiographic image	<1%	77	63	$380.80

2 more codes

D0274	Bitewings - four radiographic images	<1%	16	$253.50
D0270		<1%	13	$61.60

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.