Shannon, Sory

Shannon, Sory was paid $101K by Medicaid between Jan 2018 and Aug 2020, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.

33Billing provider infoSHANNON, SORY
BIRMINGHAM, AL 35242

33aNPI1134336480assigned 05/17/2007

33bProvider typePediatric Dentist

28Total paid$101K

24GClaims4,947

24DCodes billed8

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Pediatric Dentist providers in Alabama

Rank by total paid#87 of 111

Median peer was paid$708K

This provider vs. median0.1×

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	2,017	$41K
2019	1,951	$40K
2020	979	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	25%	920	903	$25K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	1,377	1,345	$25K
D1208	Topical application of fluoride, excluding varnish	21%	1,439	1,407	$21K
D1110	Prophylaxis - adult	16%	430	422	$16K
D0272	Bitewings - two radiographic images	9.2%	533	523	$9K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	4.2%	209	183	$4K
D0150	Comprehensive oral evaluation - new or established patient	<1%	27	26	$564.00
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$113.00

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.