Shelby, Terah

Shelby, Terah was paid $21K by Medicaid between Jul 2022 and May 2023, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.

33Billing provider infoSHELBY, TERAH
MAGEE, MS 39111

33aNPI1255955340assigned 06/03/2020

33bProvider typeGeneral Practice Dentistry

28Total paid$21K

24GClaims764

24DCodes billed6

24AFirst – last monthJul 2022 – May 2023

Compared with peers

Next to other General Practice Dentistry providers in Mississippi

Rank by total paid#264 of 379

Median peer was paid$78K

This provider vs. median0.3×

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	356	$10K
2023	408	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	35%	275	264	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	246	238	$6K
D1206	Topical application of fluoride varnish	19%	178	172	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	12%	23	14	$3K
D0272	Bitewings - two radiographic images	3.1%	30	30	$641.10
D0140	Limited oral evaluation - problem focused	2.3%	12	12	$480.84

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.