Bundy-Smith, Shandra

Bundy-Smith, Shandra was paid $74K by Medicaid between Feb 2018 and Aug 2021, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 32% of everything it billed.

33Billing provider infoBUNDY-SMITH, SHANDRA
HARVEY, IL 60426

33aNPI1184769739assigned 02/21/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$74K

24GClaims2,822

24DCodes billed12

24AFirst – last monthFeb 2018 – Aug 2021

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#605 of 1,017

Median peer was paid$123K

This provider vs. median0.6×

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	370	$13K
2019	2,286	$56K
2020	125	$4K
2021	41	$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	32%	344	327	$24K
D1120	Dental cleaning, childProphylaxis - child	26%	390	364	$19K
D0150	Comprehensive oral evaluation - new or established patient	18%	196	185	$14K
D0999	Unspecified diagnostic procedure, by report	12%	1,093	868	$9K
D7140	Extraction, erupted tooth or exposed root	3.2%	26	26	$2K
D1208	Topical application of fluoride, excluding varnish	2.7%	224	208	$2K
D0220	Intraoral - periapical first radiographic image	1.9%	132	117	$1K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.6%	13	12	$1K
D0330	Panoramic radiographic image	1.3%	169	147	$975.19
D0274	Bitewings - four radiographic images	<1%	207	195	$554.65
D0272	Bitewings - two radiographic images	<1%	13	13	$9.40
D1206	Topical application of fluoride varnish	0%	15	15	$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.