Dental
Carroll, LA Shun
Carroll, LA Shun was paid $139K by Medicaid between Jan 2018 and May 2018, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 41% of everything it billed.
33Billing provider infoCARROLL, LA SHUN
WAKEFIELD, RI 02879
WAKEFIELD, RI 02879
33aNPI1104805431assigned 01/13/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$139K
24GClaims3,576
24DCodes billed15
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other General Practice Dentistry providers in Rhode Island
Rank by total paid#38 of 86
Median peer was paid$77K
This provider vs. median1.8×
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 | 3,576 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 41% | 431 | 333 | $56K |
| D1206 | Topical application of fluoride varnish | 15% | 596 | 380 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 469 | 305 | $20K |
| D1351 | Sealant - per tooth | 5.0% | 350 | 75 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.8% | 93 | 54 | $7K |
| D1110 | Prophylaxis - adult | 4.7% | 163 | 93 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.7% | 337 | 215 | $5K |
| D0274 | Bitewings - four radiographic images | 3.3% | 281 | 182 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 79 | 49 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 183 | 130 | $4K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 246 | 160 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 232 | 153 | $1K |
3 more codes
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.