Shuttlesworth, Tifani

Shuttlesworth, Tifani was paid $537.30 by Medicaid between Apr 2021 and Aug 2021, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 64% of everything it billed.

33Billing provider infoSHUTTLESWORTH, TIFANI
ATHENS, TX 75751

33aNPI1083809404assigned 09/10/2007

33bProvider typeDentist

28Total paid$537.30

24GClaims64

24DCodes billed3

24AFirst – last monthApr 2021 – Aug 2021

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,487 of 1,678

Median peer was paid$35K

This provider vs. median0.0×

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
2021	64	$537.30

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	64%	12	12	$346.20
D1208	Topical application of fluoride, excluding varnish	36%	13	13	$191.10
D0603		0%	39	39	$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.