Dental
Nakamine, Shannon
Nakamine, Shannon was paid $1K by Medicaid between Aug 2021 and Oct 2021, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoNAKAMINE, SHANNON
HALTOM CITY, TX 76117
HALTOM CITY, TX 76117
33aNPI1134504749assigned 07/24/2015
33bProvider typeDentist
28Total paid$1K
24GClaims155
24DCodes billed6
24AFirst – last monthAug 2021 – Oct 2021
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,397 of 1,678
Median peer was paid$35K
This provider vs. median0.0×
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 | 155 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 17 | 14 | $401.05 |
| D0274 | Bitewings - four radiographic images | 27% | 19 | 15 | $347.49 |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 23 | 17 | $200.23 |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 15 | 12 | $176.40 |
| D0220 | Intraoral - periapical first radiographic image | 13% | 20 | 17 | $174.58 |
| D0603 | 0% | 61 | 49 | $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.