Dental
Cestari, Shannon
Cestari, Shannon was paid $1.11M by Medicaid between May 2021 and Dec 2024, across 28 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoCESTARI, SHANNON
ARLINGTON, TX 76012
ARLINGTON, TX 76012
33aNPI1104029883assigned 06/08/2007
33bProvider typePediatric Dentist
28Total paid$1.11M
24GClaims44,384
24DCodes billed28
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#175 of 693
Median peer was paid$252K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2021 | 7,100 | $162K | |
| 2022 | 13,096 | $341K | |
| 2023 | 13,794 | $377K | |
| 2024incomplete | 10,394 | $232K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 1,682 | 737 | $156K |
| D0145 | Oral evaluation for a patient under three years of age | 12% | 958 | 933 | $128K |
| D1351 | Sealant - per tooth | 11% | 4,951 | 1,185 | $127K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 905 | 283 | $123K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 2,879 | 2,752 | $95K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 3,242 | 3,120 | $86K |
| D0272 | Bitewings - two radiographic images | 4.6% | 2,571 | 2,460 | $51K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 4,683 | 3,622 | $45K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 4,061 | 3,841 | $43K |
| D1110 | Prophylaxis - adult | 3.6% | 781 | 760 | $40K |
| D1206 | Topical application of fluoride varnish | 3.3% | 2,717 | 2,597 | $36K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 1,399 | 1,223 | $35K |
16 more codes
| D0274 | Bitewings - four radiographic images | 2.6% | 969 | $29K |
| D0350 | 1.9% | 2,255 | $21K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 211 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 472 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 981 | $13K |
| D0330 | Panoramic radiographic image | 1.1% | 667 | $12K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.1% | 149 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 1.0% | 167 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 166 | $8K |
| D1354 | <1% | 424 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 298 | $5K |
| D1330 | <1% | 874 | $98.00 | |
| D0601 | 0% | 25 | $0.00 | |
| D0602 | 0% | 895 | $0.00 | |
| D1310 | 0% | 874 | $0.00 | |
| D0603 | 0% | 4,128 | $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.