Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Rhode Island (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sanika Shah (NPI 1093305310)

Field	Value
Entity Type	Individual
Organization	Sanika Shah
Address	335r Prairie Ave
City	Providence
State	RI
ZIP	02905
Taxonomy	Dentist
NPI Enumerated	January 20, 2021

Payer Source	Total Paid
Medicaid	$542.8K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	3,290	$80	$273.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,460	$20	$41.9K
D2392	Post 2 surface resin‑based composite	1,360	$30	$40.8K
D1120	Prophylaxis–child	1,850	$20	$38.8K
D1354	N/A	1,830	$20	$27.5K
D1351	Sealant - per tooth	2,070	$10	$22.7K
D2391	Resin‑based composite – one surface, posterior	1,030	$20	$21.6K
D0120	Periodic oral evaluation - established patient	1,930	$10	$17.4K
D0274	N/A	1,110	$10	$9.9K
D0330	N/A	410	$20	$6.9K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

Claims Volume vs. Rhode Island Distribution

Sanika Shah — 0 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	36	120	400	$130	$896.9K
D1120	Prophylaxis–child	53	160	710	$30	$91.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	45	150	800	$30	$81.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	71	100	510	$50	$65.4K
D2930	N/A	22	30	120	$130	$62.2K
D2392	Post 2 surface resin‑based composite	22	110	240	$60	$47.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	96	180	490	$20	$42.3K
D1351	Sealant - per tooth	28	90	670	$20	$41.4K
D0120	Periodic oral evaluation - established patient	76	210	930	$10	$38.1K
D0330	N/A	48	100	400	$40	$30.7K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sanika Shah, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Suma Parakkal	NH	Dentist	$0	$71.3K

Nearby Providers

Other providers in the same ZIP code as Sanika Shah, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Women & Infants Hospital Of Rhode Island	RI	General Acute Care Hospital	$0	$132.1M
Elmwood Home Care, Inc.	RI	Home Health Agency	$0	$38.6M
H&t Medicals, Inc	RI	Home Health Agency	$0	$14.8M
R.i.s.a.t., LLC	RI	Methadone Clinic	$321.1K	$14M
Meeting Street Center	RI	Early Intervention Provider Agency	$0	$13.8M
The Providence Community Health Centers, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$13.4M
Rhode Island Hospital	RI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.2M
Women And Infants Hospital	RI	General Acute Care Hospital	$0	$12.6M
The Providence Community Health Centers, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$8.3M
Renaissance Adhc, LLC	RI	Adult Day Care Clinic/Center	$0	$7.4M

Sanika Shah — Billing Profile & Reimbursement Data

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Sanika Shah — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References