Dental
Shadow Ridge Dental
Shadow Ridge Dental was paid $8K by Medicaid between Dec 2018 and Jul 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 70% of everything it billed.
33Billing provider infoSHADOW RIDGE DENTAL
ELKHORN, NE 68022
ELKHORN, NE 68022
33aNPI1073811014assigned 02/28/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims320
24DCodes billed3
24AFirst – last monthDec 2018 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#123 of 201
Median peer was paid$21K
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 | |
|---|---|---|---|
| 2018 | 15 | $330.00 | |
| 2019 | 14 | $291.72 | |
| 2020 | 30 | $627.26 | |
| 2021 | 38 | $858.43 | |
| 2022 | 78 | $2K | |
| 2023 | 106 | $3K | |
| 2024incomplete | 39 | $644.99 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 70% | 253 | 240 | $6K |
| D1110 | Prophylaxis - adult | 26% | 55 | 55 | $2K |
| D1206 | Topical application of fluoride varnish | 3.5% | 12 | 12 | $283.91 |
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 officialBECKER, JAMES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Turning Point Center for Youth & Development, INC | Fort Collins, CO | $3K |
| Soho Diagnostics Ink Corporation | Mamaroneck, NY | $224.80 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.