Dental
De Vera, Shannon
De Vera, Shannon was paid $11K by Medicaid between Jun 2023 and Nov 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 44% of everything it billed.
33Billing provider infoDE VERA, SHANNON
SPRING, TX 77379
SPRING, TX 77379
33aNPI1245783323assigned 07/26/2016
33bProvider typePediatric Dentist
28Total paid$11K
24GClaims774
24DCodes billed7
24AFirst – last monthJun 2023 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#574 of 693
Median peer was paid$252K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 257 | $4K | |
| 2024incomplete | 517 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 44% | 149 | 144 | $5K |
| D1206 | Topical application of fluoride varnish | 22% | 183 | 176 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 56 | 51 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 42 | 41 | $1K |
| D0330 | Panoramic radiographic image | 5.2% | 17 | 14 | $577.70 |
| D0272 | Bitewings - two radiographic images | 2.6% | 15 | 13 | $287.42 |
| D0603 | 0% | 312 | 301 | $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.