Clinic
Shawn M Custer Dental PLLC
Shawn M Custer Dental PLLC was paid $159K by Medicaid between Feb 2022 and Sep 2023, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 38% of everything it billed.
33Billing provider infoSHAWN M CUSTER DENTAL PLLC
FORT COLLINS, CO 80525
FORT COLLINS, CO 80525
33aNPI1255083473assigned 01/19/2022
33bProvider typeDental Clinic/Center
28Total paid$159K
24GClaims2,367
24DCodes billed12
24AFirst – last monthFeb 2022 – Sep 2023
Compared with peers
Next to other Dental Clinic/Center providers in Colorado
Rank by total paid#101 of 193
Median peer was paid$180K
This provider vs. median0.9×
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 | 1,327 | $79K | |
| 2023 | 1,040 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 38% | 467 | 218 | $60K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 19% | 193 | 111 | $30K |
| D0330 | Panoramic radiographic image | 16% | 477 | 477 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 516 | 516 | $20K |
| D0274 | Bitewings - four radiographic images | 8.0% | 428 | 428 | $13K |
| D1110 | Prophylaxis - adult | 3.1% | 116 | 116 | $5K |
| D4342 | 1.7% | 29 | 13 | $3K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 65 | 65 | $2K |
| D4346 | <1% | 20 | 20 | $884.40 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 19 | 19 | $238.83 |
| D1206 | Topical application of fluoride varnish | <1% | 12 | 12 | $205.56 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 25 | 25 | $181.32 |
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 officialCUSTER, SHAWN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Shawn M Custer Dental PLLC | Greeley, CO | $1.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.