Clinic
Shoal Creek Dental
Shoal Creek Dental was paid $2K by Medicaid between Jan 2023 and Aug 2023, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.
33Billing provider infoSHOAL CREEK DENTAL
KILLEN, AL 35645
KILLEN, AL 35645
33aNPI1194216861assigned 05/29/2018
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims90
24DCodes billed5
24AFirst – last monthJan 2023 – Aug 2023
Compared with peers
Next to other Dental Clinic/Center providers in Alabama
Rank by total paid#41 of 59
Median peer was paid$28K
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 | |
|---|---|---|---|
| 2023 | 90 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 51% | 27 | 27 | $825.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 19% | 16 | 14 | $299.20 |
| D1206 | Topical application of fluoride varnish | 16% | 13 | 13 | $260.00 |
| D0274 | Bitewings - four radiographic images | 7.8% | 12 | 12 | $126.00 |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 22 | 13 | $103.95 |
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 officialEVANS, BRUCE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Upper Pine River Fire Protection District | Bayfield, CO | $14K |
| Superior Anesthetists Associates, INC. | Troy, MI | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.