Shepherd, Travis

Shepherd, Travis was paid $38K by Medicaid between Jul 2019 and May 2023, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 77% of everything it billed.

33Billing provider infoSHEPHERD, TRAVIS
KIMBERLY, ID 83341

33aNPI1083888580assigned 04/15/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$38K

24GClaims3,269

24DCodes billed9

24AFirst – last monthJul 2019 – May 2023

Compared with peers

Next to other General Practice Dentistry providers in Idaho

Rank by total paid#72 of 173

Median peer was paid$22K

This provider vs. median1.7×

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
2019	419	$5K
2020	650	$10K
2021	1,022	$14K
2022	864	$8K
2023	314	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	77%	366	366	$30K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	14%	80	38	$5K
D1120	Dental cleaning, childProphylaxis - child	5.9%	26	26	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.1%	593	592	$401.77
D0274	Bitewings - four radiographic images	<1%	208	208	$298.18
D0220	Intraoral - periapical first radiographic image	<1%	755	743	$145.06
D1206	Topical application of fluoride varnish	<1%	520	519	$54.20
D0230	Intraoral - periapical each additional radiographic image	0%	709	528	$0.00
D0272	Bitewings - two radiographic images	0%	12	12	$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.