Dental
Shaver, Mysty
Shaver, Mysty was paid $176K by Medicaid between Jan 2018 and Apr 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.
33Billing provider infoSHAVER, MYSTY
ANKENY, IA 50023
ANKENY, IA 50023
33aNPI1235510421assigned 06/12/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$176K
24GClaims8,079
24DCodes billed14
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#64 of 437
Median peer was paid$22K
This provider vs. median8.0×
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 | 2,002 | $42K | |
| 2019 | 2,469 | $56K | |
| 2020 | 2,111 | $48K | |
| 2021 | 1,023 | $21K | |
| 2022 | 328 | $6K | |
| 2023 | 99 | $1K | |
| 2024incomplete | 47 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 15% | 740 | 723 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,465 | 1,408 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 974 | 933 | $22K |
| D0330 | Panoramic radiographic image | 10% | 730 | 697 | $18K |
| D1206 | Topical application of fluoride varnish | 9.3% | 1,263 | 1,179 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.7% | 743 | 698 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.5% | 217 | 157 | $15K |
| D0274 | Bitewings - four radiographic images | 7.6% | 775 | 749 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 168 | 127 | $8K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 246 | 243 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 85 | 37 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 464 | 447 | $4K |
2 more codes
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.