Clinic
Shenandoah Dental Clinic INC
Shenandoah Dental Clinic INC was paid $1.05M by Medicaid between Jan 2018 and Sep 2024, across 21 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 13% of everything it billed.
33Billing provider infoSHENANDOAH DENTAL CLINIC INC
WOODSTOCK, VA 22664
WOODSTOCK, VA 22664
33aNPI1124265699assigned 01/20/2009
33bProvider typeDental Clinic/Center
28Total paid$1.05M
24GClaims38,064
24DCodes billed21
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Virginia
Rank by total paid#25 of 142
Median peer was paid$75K
This provider vs. median14×
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 | 3,842 | $94K | |
| 2019 | 8,200 | $231K | |
| 2020 | 5,847 | $171K | |
| 2021 | 6,791 | $216K | |
| 2022 | 4,913 | $194K | |
| 2023 | 5,269 | $143K | |
| 2024incomplete | 3,202 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 1,933 | 525 | $133K |
| D1110 | Prophylaxis - adult | 12% | 3,335 | 3,281 | $125K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 2,128 | 1,134 | $115K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 1,648 | 1,087 | $105K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.1% | 5,203 | 5,136 | $85K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.6% | 2,559 | 2,538 | $80K |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 1,168 | 392 | $51K |
| D9630 | 4.8% | 2,887 | 2,849 | $50K | |
| D0140 | Limited oral evaluation - problem focused | 4.6% | 3,096 | 2,335 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 1,944 | 1,524 | $45K |
| D0274 | Bitewings - four radiographic images | 3.9% | 1,858 | 1,830 | $41K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 1,964 | 1,961 | $39K |
9 more codes
| D1206 | Topical application of fluoride varnish | 3.4% | 2,068 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 3,549 | $26K |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 277 | $18K |
| D0330 | Panoramic radiographic image | 1.7% | 496 | $17K |
| D0272 | Bitewings - two radiographic images | 1.5% | 786 | $16K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 101 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 956 | $7K |
| D1351 | Sealant - per tooth | <1% | 40 | $1K |
| D1330 | 0% | 68 | $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.
From NPPES
Who's on the registration
Authorized officialMURPHY, PAM (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Menifee County Ambulance Taxing District | Frenchburg, KY | $279K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.