Dental
Roundy, Shad
Roundy, Shad was paid $261K by Medicaid between Oct 2021 and Nov 2024, across 5 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 60% of everything it billed.
33Billing provider infoROUNDY, SHAD
ANDERSON, IN 46011
ANDERSON, IN 46011
33aNPI1164492104assigned 01/24/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$261K
24GClaims3,203
24DCodes billed5
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Indiana
Rank by total paid#38 of 72
Median peer was paid$286K
This provider vs. median0.9×
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 | 56 | $2K | |
| 2022 | 1,058 | $75K | |
| 2023 | 1,187 | $103K | |
| 2024incomplete | 902 | $80K |
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 | 60% | 979 | 260 | $156K |
| D0140 | Limited oral evaluation - problem focused | 17% | 1,245 | 1,155 | $45K |
| D9243 | 12% | 521 | 269 | $32K | |
| D9239 | 6.7% | 298 | 274 | $18K | |
| D0330 | Panoramic radiographic image | 3.9% | 160 | 152 | $10K |
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.