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Madhavi A. Sheth

Dentist · San Jose

NPI 1255455481

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
7
3 carriers
Office
1

Offices

1 location

Plans that list them

7 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Madhavi A. Sheth’s office at (408) 293-7000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

7 of 7 plans

Plans whose provider directory lists this clinician
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 10, 2026

Medicaid work

$258,610 in 2024

Medicaid paid $258,610 for 5,449 billed services this clinician did in 2024, up to 65 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Service587$39,307
Service590$38,718
Service497$34,650
Service616$33,529
Service576$27,504
Service262$20,373
Service172$15,130
Service225$11,678
Service106$8,379
Service775$7,536
Service288$6,585
Service402$5,768
Medicaid work by year
20245,4491465$258,610
20234,2611555$191,833
20224,4131661$188,598
20215,9441552$234,937
20203,9981456$159,604
20194,8031354$203,573
20184,4781760$162,661
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Service497$33,273
Service439$23,915
Service293$22,199
Service324$21,220
Service251$17,465
Service177$15,534
Service288$14,753
Service298$14,064
Service348$7,841
Service473$6,680
Service273$5,684
Service520$5,059

2022

Largest Medicaid services in 2022
Service446$33,827
Service392$26,342
Service332$21,720
Service385$19,993
Service350$16,260
Service291$15,889
Service141$12,336
Service484$10,966
Service382$8,122
Service552$7,861
Service57$4,549
Service460$4,483

2021

Largest Medicaid services in 2021
Service823$54,576
Service864$46,931
Service340$22,266
Service242$18,992
Service353$16,618
Service369$16,426
Service136$11,520
Service375$10,833
Service1,088$10,707
Service388$8,627
Service312$6,592
Service541$5,382

2020

Largest Medicaid services in 2020
Service572$38,377
Service596$32,494
Service254$16,764
Service193$15,401
Service248$11,856
Service230$10,305
Service256$7,611
Service720$7,337
Service294$5,804
Service56$5,040
Service198$4,255
Service353$3,488

2019

Largest Medicaid services in 2019
Service969$64,834
Service774$41,897
Service375$29,845
Service161$10,626
Service851$9,139
Service301$9,030
Service202$9,000
Service157$7,536
Service92$7,007
Service314$4,520
Service414$4,138
Service163$3,391

2018

Largest Medicaid services in 2018
Service730$48,518
Service524$27,791
Service241$18,992
Service254$11,547
Service323$9,660
Service214$9,112
Service246$7,629
Service128$6,441
Service394$5,273
Service616$4,705
Service188$3,575
Service382$3,493

Drugs they prescribed that Part D paid

$36

Pharmacies billed $36 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 14) in 2024. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

14 generic and 0 brand-name prescriptions · $36 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Year by year

Part D prescribing by year
202414None0% (0)0%$36
20222814None0%$102
20212415None0%$449
2020432035% (15)0%$252
20193319NoneNone$214
20183419None0%$202
20172717None0%$151
20163621None0%$174
20154025None0%$193
2014683731% (21)0%$452
2013502826% (13)None$321

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2022: 1 drug

Part D drugs prescribed in 2022
Amoxicillin14$46$3

2021: 1 drug

Part D drugs prescribed in 2021
Amoxicillin14$63$4

2020: 2 drugs

Part D drugs prescribed in 2020
Acetaminophen-Codeine13$85$7
Amoxicillin15$74$5

2019: 1 drug

Part D drugs prescribed in 2019
Amoxicillin14$73$5

2018: 1 drug

Part D drugs prescribed in 2018
Amoxicillin16$77$5

2017: 1 drug

Part D drugs prescribed in 2017
Amoxicillin12$67$6

2016: 1 drug

Part D drugs prescribed in 2016
Amoxicillin14$57$4

2015: 2 drugs

Part D drugs prescribed in 2015
Amoxicillin19$92$5
Ibuprofen11$46$4

2014: 2 drugs

Part D drugs prescribed in 2014
Amoxicillin31$208$7
Hydrocodone-Acetaminophen13$92$7

2013: 2 drugs

Part D drugs prescribed in 2013
Amoxicillin25$150$6
Hydrocodone-Acetaminophen11$63$6

Money from drug and device companies

$84 in 2019

A payment is not proof that care is biased.

Payments by company
Premier Dental ProductsNone$70
2 payments
  • Education · 2019-11-03 · $35
  • Education · 2019-10-24 · $35
Dentsply SironaPalodent Plus$14
1 payment
  • Meals for Palodent Plus · 2019-11-01 · $14
See all 3 published payments
Every published payment
Premier Dental ProductsEducation · 2019-11-03None$35
Dentsply SironaMeals · 2019-11-01Palodent Plus$14
Premier Dental ProductsEducation · 2019-10-24None$35

Professional record

NPI
1255455481
Licence
CA 49668
More record details
Sole proprietor
No
Medicaid ID
CA D49668
Taxonomy
Federal specialty code 122300000X (122300000X)
Mailing address
3075 Delta Rd, San Jose, CA, 95135
NPI first listed
2007-03-16
NPI last updated
2007-07-09

This is when the NPI record was last certified, not a medical board exam.