Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

PANKAJ K. PATEL, DMD & SHAILESH K. PATEL, DDS A PROF CORP

Clinic/Center, Ambulatory Surgical·SALIDA, CA·NPI: 1588875967Share

Compared to Clinic/Center, Ambulatory Surgical Peers

Total spending distribution among 9 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.1M is at the below 25th percentile among 9 Clinic/Center, Ambulatory Surgical providers.

Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$33.1M

$33,110,346

Total Claims

391K

Beneficiaries

234K

1.7 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$4.1M
+19%
2019
$4.9M
-17%
2020
$4.0M
+29%
2021
$5.2M
-5%
2022
$5.0M
+0%
2023
$5.0M
+0%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 20% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$6.6M

56K claims · 20.0%

Your Cost: $117.36/claim|Median: $120.85
1.0× median
D9223Top 10%

Deep sedation/general anesthesia, each additional 15 min

$4.4M

11K claims · 13.4%

Your Cost: $402.92/claim|Median: $107.14
3.8× median
00170Top 5%

Anesthesia for intraoral procedures

$3.6M

9,523 claims · 10.8%

Your Cost: $375.08/claim|Median: $132.89
2.8× median
D3220Top 25%

Therapeutic pulpotomy

$3.2M

33K claims · 9.8%

Your Cost: $98.33/claim|Median: $81.27
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$2.0M

35K claims · 6.0%

Your Cost: $56.43/claim|Median: $57.39
1.0× median
D9420Normal range

$1.7M

18K claims · 5.0%

Your Cost: $93.99/claim|Median: $81.82
1.1× median
D9610Top 5%

$1.4M

16K claims · 4.1%

Your Cost: $82.97/claim|Median: $28.44
2.9× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$1.3M

11K claims · 4.0%

Your Cost: $121.82/claim|Median: $90.28
1.3× median
D9221Normal range

$1.3M

5,356 claims · 3.8%

Your Cost: $237.44/claim|Median: $151.01
1.6× median
D9220Normal range

$1.1M

5,301 claims · 3.4%

Your Cost: $213.46/claim|Median: $215.77
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$1.0M

15K claims · 3.1%

Your Cost: $66.50/claim|Median: $66.00
1.0× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$787K

13K claims · 2.4%

Your Cost: $62.92/claim|Median: $32.07
2.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$705K

9,213 claims · 2.1%

Your Cost: $76.49/claim|Median: $66.63
1.1× median
D0350Top 25%

$504K

22K claims · 1.5%

Your Cost: $22.76/claim|Median: $9.73
2.3× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$494K

44K claims · 1.5%

Your Cost: $11.18/claim|Median: $7.33
1.5× median
D1510Normal range

$475K

3,279 claims · 1.4%

Your Cost: $144.90/claim|Median: $147.00
1.0× median
D2140Normal range

Amalgam, one surface, primary or permanent

$403K

7,455 claims · 1.2%

Your Cost: $54.12/claim|Median: $52.77
1.0× median
0360Normal range

$348K

3,415 claims · 1.1%

Your Cost: $101.97/claim|Median: $95.40
1.1× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$284K

5,121 claims · 0.9%

Your Cost: $55.51/claim|Median: $763.43
0.1× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$267K

3,646 claims · 0.8%

Your Cost: $73.17/claim|Median: $37.81
1.9× median
D1351Normal range

Sealant, per tooth

$237K

8,067 claims · 0.7%

Your Cost: $29.32/claim|Median: $26.10
1.1× median
D0272Normal range

Bitewings, two radiographic images

$179K

15K claims · 0.5%

Your Cost: $11.59/claim|Median: $15.81
0.7× median
D1120Normal range

Prophylaxis, adult

$165K

4,806 claims · 0.5%

Your Cost: $34.43/claim|Median: $33.86
1.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$95K

2,630 claims · 0.3%

Your Cost: $36.22/claim|Median: $40.52
0.9× median
D1206Normal range

Topical application of fluoride varnish

$83K

4,765 claims · 0.3%

Your Cost: $17.38/claim|Median: $18.12
1.0× median
0160Normal range

$81K

2,207 claims · 0.2%

Your Cost: $36.69/claim|Median: $54.01
0.7× median
D0120Top 25%

Periodic oral evaluation, established patient

$60K

1,344 claims · 0.2%

Your Cost: $44.82/claim|Median: $24.34
1.8× median
0760Normal range

$57K

2,645 claims · 0.2%

Your Cost: $21.46/claim|Median: $22.01
1.0× median
0710Normal range

$51K

2,998 claims · 0.2%

Your Cost: $17.13/claim|Median: $18.49
0.9× median
A4649Normal range

Surgical supply, miscellaneous, not otherwise classified

$45K

2,128 claims · 0.1%

Your Cost: $21.26/claim|Median: $5.04
4.2× median
J7120Top 25%

Ringer's lactate infusion, up to 1000 cc

$40K

5,152 claims · 0.1%

Your Cost: $7.85/claim|Median: $1.51
5.2× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$40K

501 claims · 0.1%

Your Cost: $79.00/claim|Median: $73.58
1.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$35K

1,056 claims · 0.1%

Your Cost: $33.48/claim|Median: $12.93
2.6× median
D9430Normal range

$17K

637 claims · 0.1%

Your Cost: $26.97/claim|Median: $31.69
0.9× median
J2704Top 25%

$16K

2,882 claims · 0.0%

Your Cost: $5.60/claim|Median: $0.76
7.4× median
0490Normal range

$14K

372 claims · 0.0%

Your Cost: $36.51/claim|Median: $58.18
0.6× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$12K

228 claims · 0.0%

Your Cost: $53.43/claim|Median: $57.30
0.9× median
D0603Normal range

$11K

2,497 claims · 0.0%

Your Cost: $4.22/claim|Median: $6.54
0.6× median
99199Top 25%

Unlisted special service, procedure, or report

$5K

102 claims · 0.0%

Your Cost: $45.84/claim|Median: $5.39
8.5× median
D2160Normal range

Amalgam filling, three surfaces

$4K

57 claims · 0.0%

Your Cost: $77.00/claim|Median: $78.55
1.0× median
0761Normal range

$4K

163 claims · 0.0%

Your Cost: $22.01/claim|Median: $24.10
0.9× median
J1100Top 25%

$3K

632 claims · 0.0%

Your Cost: $4.56/claim|Median: $0.52
8.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$2K

171 claims · 0.0%

Your Cost: $9.07/claim|Median: $10.51
0.9× median
Z7506Normal range

$1K

15 claims · 0.0%

Your Cost: $92.83/claim|Median: $120.98
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$1K

170 claims · 0.0%

Your Cost: $7.91/claim|Median: $14.36
0.6× median
J1885Top 25%

Injection, ketorolac tromethamine, fifteen milligrams

$811

164 claims · 0.0%

Your Cost: $4.94/claim|Median: $0.91
5.4× median
J3490Normal range

Unclassified drugs

$600

64 claims · 0.0%

Your Cost: $9.37/claim|Median: $5.70
1.6× median
Z7514Normal range

$557

15 claims · 0.0%

Your Cost: $37.13/claim|Median: $58.30
0.6× median
G0378Normal range

Hospital observation service, per hour

$452

19 claims · 0.0%

Your Cost: $23.77/claim|Median: $99.39
0.2× median
D0274Normal range

Bitewings, four radiographic images

$346

24 claims · 0.0%

Your Cost: $14.40/claim|Median: $22.54
0.6× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

Similar Providers

Other top providers in Clinic/Center, Ambulatory Surgical

Vhs Childrens Hospital of Michigan INC

Detroit, MI

$180.2M

Henry Ford Health St. John Hospital

Chicago, IL

$159.4M

Dallas County Hospital District

Dallas, TX

$152.6M

University of Texas Medical Branch at Galveston

Galveston, TX

$150.3M

← All providersAll providers in California →How we detect fraud →