Dental
Shur, Lyudmila
Shur, Lyudmila was paid $5K by Medicaid between Jul 2020 and Jul 2020, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoSHUR, LYUDMILA
LYNNWOOD, WA 98087
LYNNWOOD, WA 98087
33aNPI1043300197assigned 10/12/2006
33bProvider typeDentist
28Total paid$5K
24GClaims314
24DCodes billed8
24AFirst – last monthJul 2020 – Jul 2020
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#230 of 335
Median peer was paid$30K
This provider vs. median0.2×
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 | 314 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 50 | 50 | $1K |
| D9920 | 17% | 31 | 30 | $843.88 | |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 36 | 36 | $827.28 |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 52 | 52 | $798.90 |
| D1110 | Prophylaxis - adult | 8.8% | 12 | 12 | $435.00 |
| D0272 | Bitewings - two radiographic images | 8.5% | 41 | 41 | $421.89 |
| D0220 | Intraoral - periapical first radiographic image | 7.6% | 48 | 48 | $377.20 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 44 | 44 | $103.29 |
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.