Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › De Pere › NPI 1215094750
Dental

Shetty, Vijayalakshmi

Shetty, Vijayalakshmi was paid $16K by Medicaid between Feb 2022 and Nov 2024, across 7 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 35% of everything it billed.

33Billing provider infoSHETTY, VIJAYALAKSHMI
DE PERE, WI 54115
33aNPI1215094750assigned 01/03/2007
33bProvider typePediatric Dentist
28Total paid$16K
24GClaims1,519
24DCodes billed7
24AFirst – last monthFeb 2022 – Nov 2024
Compared with peers

Next to other Pediatric Dentist providers in Wisconsin

Rank by total paid#45 of 61
Median peer was paid$85K
This provider vs. median0.2×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2022289$4K
2023571$7K
2024incomplete659$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1206 Topical application of fluoride varnish 35% 614 589 $5K
D1120 Dental cleaning, childProphylaxis - child 31% 392 380 $5K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 27% 444 430 $4K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4.3% 15 14 $678.72
D1110 Prophylaxis - adult 2.2% 29 27 $336.90
D0272 Bitewings - two radiographic images <1% 12 12 $87.00
D0150 Comprehensive oral evaluation - new or established patient <1% 13 13 $59.20

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.