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
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
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 | |
|---|---|---|---|
| 2022 | 289 | $4K | |
| 2023 | 571 | $7K | |
| 2024incomplete | 659 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.