Dental
Shoubaki, Roanne
Shoubaki, Roanne was paid $13K by Medicaid between Jan 2024 and Apr 2024, across 1 billing code. Its largest line is D0999, Unspecified diagnostic procedure, by report — 100% of everything it billed.
33Billing provider infoSHOUBAKI, ROANNE
GEORGETOWN, TX 78628
GEORGETOWN, TX 78628
33aNPI1053005504assigned 06/07/2023
33bProvider typeDentist
28Total paid$13K
24GClaims64
24DCodes billed1
24AFirst – last monthJan 2024 – Apr 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,030 of 1,678
Median peer was paid$35K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2024incomplete | 64 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 100% | 64 | 55 | $13K |
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.