Dental
Sheldon A. Ballou, DMD, PSC
Sheldon A. Ballou, DMD, PSC was paid $86K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoSHELDON A. BALLOU, DMD, PSC
CAVE CITY, KY 42127
CAVE CITY, KY 42127
33aNPI1063564813assigned 01/18/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$86K
24GClaims3,386
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#248 of 462
Median peer was paid$106K
This provider vs. median0.8×
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 | 1,564 | $37K | |
| 2019 | 1,043 | $27K | |
| 2020 | 600 | $16K | |
| 2024incomplete | 179 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 634 | 567 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 867 | 802 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 222 | 210 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 686 | 635 | $9K |
| D0274 | Bitewings - four radiographic images | 9.7% | 402 | 359 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.0% | 141 | 72 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.2% | 162 | 92 | $6K |
| D0330 | Panoramic radiographic image | 4.5% | 114 | 109 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.4% | 75 | 65 | $1K |
| D0272 | Bitewings - two radiographic images | 1.1% | 65 | 59 | $950.04 |
| D0602 | 0% | 18 | 16 | $0.00 |
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 officialBALLOU, SHELDON (PRESIDENT)