Dental
Shelburne Dental Services, P.C.
Shelburne Dental Services, P.C. was paid $3K by Medicaid between Jun 2018 and Aug 2023, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 61% of everything it billed.
33Billing provider infoSHELBURNE DENTAL SERVICES, P.C.
SHELBURNE, VT 05482
SHELBURNE, VT 05482
33aNPI1053751164assigned 07/03/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims101
24DCodes billed2
24AFirst – last monthJun 2018 – Aug 2023
Compared with peers
Next to other General Practice Dentistry providers in Vermont
Rank by total paid#79 of 88
Median peer was paid$57K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 12 | $266.00 | |
| 2021 | 48 | $1K | |
| 2023 | 41 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 61% | 76 | 75 | $2K |
| D1110 | Prophylaxis - adult | 39% | 25 | 25 | $1K |
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.
From NPPES
Who's on the registration
Authorized officialBOUCHARD, NATHAN (OWNER/DENTIST)