Dental
Shenandoah Smiles PC
Shenandoah Smiles PC was paid $2.35M by Medicaid between Jan 2018 and Sep 2024, across 28 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 24% of everything it billed.
33Billing provider infoSHENANDOAH SMILES PC
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1144609702assigned 05/28/2015
33bProvider typeDentist
28Total paid$2.35M
24GClaims85,569
24DCodes billed28
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#12 of 417
Median peer was paid$34K
This provider vs. median69×
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 | 9,998 | $384K | |
| 2019 | 11,021 | $389K | |
| 2020 | 11,682 | $357K | |
| 2021 | 13,707 | $455K | |
| 2022 | 12,703 | $456K | |
| 2023 | 16,048 | $301K | |
| 2024incomplete | 10,410 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 24% | 5,562 | 1,084 | $554K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 14,486 | 14,241 | $379K |
| D1206 | Topical application of fluoride varnish | 11% | 15,883 | 15,604 | $259K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.6% | 12,760 | 12,551 | $202K |
| D7140 | Extraction, erupted tooth or exposed root | 7.3% | 3,280 | 1,221 | $172K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 1,623 | 870 | $126K |
| D1351 | Sealant - per tooth | 3.9% | 3,545 | 1,062 | $91K |
| D0272 | Bitewings - two radiographic images | 3.4% | 4,963 | 4,894 | $81K |
| D1355 | 3.4% | 2,437 | 611 | $79K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 2,170 | 2,065 | $61K |
| D1354 | 2.4% | 4,011 | 1,057 | $57K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 1,672 | 1,631 | $42K |
16 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 466 | $35K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 4,173 | $32K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.3% | 734 | $31K |
| D1110 | Prophylaxis - adult | 1.3% | 785 | $30K |
| D0240 | 1.2% | 2,485 | $28K | |
| D9630 | <1% | 1,082 | $21K | |
| D0330 | Panoramic radiographic image | <1% | 454 | $21K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,495 | $13K |
| D2929 | <1% | 186 | $12K | |
| D9420 | <1% | 411 | $11K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 415 | $8K |
| D9310 | <1% | 42 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 152 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 100 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 105 | $202.20 |
| D1510 | <1% | 92 | $154.00 |
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 officialGIBSON, MELISSA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Advanced Medical Care PLLC | Forest Hills, NY | $5.15M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.