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Srujal H Shah, DDS

Oral Surgery · Scotts Valley

NPI 1457684623

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
5
3 carriers
Office
1

Offices

1 location · Dr Srujal H Shah DDS Inc · 3 clinicians in this group

Looking this up.

Plans that list them

5 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Shah’s office at (408) 490-0182 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

5 of 5 plans

Plans whose provider directory lists this clinician
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

California Medical Board record

Licence G58754 · Cancelled

Licence status: Cancelled · since 1986 · State University of New York at Buffalo School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$6,053

Medicare paid this office $6,053 for 67 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
New patient visit (30+ min)61$5,501$90

Who their Medicare patients are

67 Original Medicare patients in 2024. Average age 73 · Women 54% · Also on Medicaid 18% · Health risk score 0.99. At or below the middle of the specialty; the typical oral surgery (dentist only) clinician is at 1.13.

Conditions among them: High blood pressure 67% · Depression 28% · Coronary heart disease 25% · Atrial fibrillation 24% · Diabetes 19%.

The office billed $24,985, Medicare allowed $8,041 and paid $6,053; for 67 services of 4 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20246767730.99$24,985$6,053
20235355721.18$19,930$4,703
20225257700.79$19,155$4,647
20213845700.84$16,045$3,878
20204752720.80$18,060$4,107
2019110123720.98$38,195$10,864
201898114700.80$38,620$11,030
20173648671.00$19,850$4,757
20161818721.37$18,950$4,534
20151919650.94$5,785$1,714
20141414700.61$4,010$1,112

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 1 service

Original Medicare services billed in 2023
New patient visit (30+ min)45$3,821$85

2022: 2 services

Original Medicare services billed in 2022
New patient visit (30+ min)36$3,156$88
Short return visit (20+ min)12$806$67

2021: 1 service

Original Medicare services billed in 2021
New patient visit (30+ min)31$2,980$96

2020: 1 service

Original Medicare services billed in 2020
New patient visit (30+ min)39$3,550$91

2019: 3 services

Original Medicare services billed in 2019
New patient visit (30+ min)57$5,408$95
Short return visit (20+ min)42$2,728$65
Short return visit14$615$41

2018: 2 services

Original Medicare services billed in 2018
Short return visit (20+ min)60$4,564$65
New patient visit (30+ min)32$3,060$96

2017: 2 services

Original Medicare services billed in 2017
New patient visit (30+ min)22$1,991$90
Short return visit (20+ min)11$904$60

2016: 1 service

Original Medicare services billed in 2016
New patient visit (30+ min)14$1,358$97

2015: 1 service

Original Medicare services billed in 2015
New patient visit (30+ min)16$1,582$99

Medicaid work

$45,910 in 2024

Medicaid paid $45,910 for 206 billed services this clinician did in 2024, up to 20 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
Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment12$40,125
LARYNGEAL FUNCTION STUDIES91$2,682
Nasal function studies89$2,138
New patient visit (45+ min)14$965
Medicaid work by year
2024206420$45,910
2023166318$21,461
202277414$50,279
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment12$17,333
LARYNGEAL FUNCTION STUDIES76$2,260
Nasal function studies78$1,868

2022

Largest Medicaid services in 2022
Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment14$48,055
New patient visit (45+ min)12$827
LARYNGEAL FUNCTION STUDIES26$783
Nasal function studies25$615

Money from drug and device companies

$695 in 2025

Industry payments by year
202513None$695
202411$1,000$1,000
202111None$23
202011$250$250
201923None$58

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
SomnoMedNone$695
3 payments
  • Meals · 2025-07-15 · $205
  • Meals · 2025-02-19 · $245
  • Meals · 2025-02-16 · $245
See all 3 published payments
Every published payment
SomnoMedMeals · 2025-07-15None$205
SomnoMedMeals · 2025-02-19None$245
SomnoMedMeals · 2025-02-16None$245
See earlier years (2024, 2021, 2020, 2019)

2024: $1,000

Payments by company in 2024
SomnoMedNone$1,000
1 payment
  • Consulting · 2024-03-12 · $1,000

2021: $23

Payments by company in 2021
GlaxoSmithKlineTrelegy Ellipta$23
1 payment
  • Meals for Trelegy Ellipta · 2021-08-03 · $23

2020: $250

Payments by company in 2020
Mitsui ChemicalsNone$250
1 payment
  • Honoraria · 2020-10-30 · $250

2019: $58

Payments by company in 2019
Nobel Biocare USANobelparallel$33
2 payments
  • Meals for Nobelparallel · 2019-07-18 · $19
  • Meals for Nobelparallel · 2019-06-04 · $15
Mitsui ChemicalsNone$24
1 payment
  • Meals · 2019-11-05 · $24

Professional record

NPI
1457684623
Licence
CA 58754California G58754: Cancelled
Trained
Univ of Calif, Los Angeles School of Dentistry, 2008
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 122300000X (122300000X); Federal specialty code 1223X2210X (1223X2210X)
Mailing address
6120 Hellyer Ave Ste 125, San Jose, CA, 95138
NPI first listed
2009-09-04
NPI last updated
2023-10-16
NPI record certified
2023-10-16

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

Extra NPI addresses: 825 Pollard Rd Ste 100, Los Gatos, CA, 95032 · 101 Wilson Rd, Monterey, CA, 93940 · 1081 Market Pl Ste 100, San Ramon, CA, 94583 · 4340 Scotts Valley Dr Ste H, Scotts Valley, CA, 95066