Dental
Kanoknuch S. Shiflett, D.D.S. INC.
Kanoknuch S. Shiflett, D.D.S. INC. was paid $1.86M by Medicaid between Jan 2018 and Jan 2023, across 25 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoKANOKNUCH S. SHIFLETT, D.D.S. INC.
WEST COVINA, CA 91790
WEST COVINA, CA 91790
33aNPI1265624985assigned 08/16/2007
33bProvider typePediatric Dentist
28Total paid$1.86M
24GClaims96,193
24DCodes billed25
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#100 of 332
Median peer was paid$450K
This provider vs. median4.1×
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 | 19,912 | $346K | |
| 2019 | 24,495 | $407K | |
| 2020 | 17,535 | $320K | |
| 2021 | 19,158 | $343K | |
| 2022 | 14,737 | $435K | |
| 2023 | 356 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 6,933 | 6,900 | $335K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 9,161 | 9,110 | $311K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.5% | 2,769 | 1,241 | $176K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.1% | 40,747 | 8,695 | $170K |
| D9993 | 5.4% | 1,610 | 1,609 | $101K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 2,106 | 2,093 | $97K |
| D1310 | 5.1% | 2,139 | 2,123 | $96K | |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 9,152 | 9,101 | $90K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 1,342 | 688 | $68K |
| D0272 | Bitewings - two radiographic images | 3.6% | 5,982 | 5,945 | $67K |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 1,189 | 755 | $65K |
| D1351 | Sealant - per tooth | 3.4% | 4,050 | 955 | $64K |
13 more codes
| D0145 | Oral evaluation for a patient under three years of age | 2.2% | 857 | $41K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 932 | $34K |
| D0274 | Bitewings - four radiographic images | 1.6% | 1,411 | $29K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.3% | 258 | $23K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.3% | 219 | $23K |
| D0603 | 1.2% | 1,570 | $23K | |
| D9430 | <1% | 444 | $14K | |
| D0350 | <1% | 1,913 | $13K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 994 | $11K |
| D0601 | <1% | 223 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 42 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 39 | $2K |
| D0602 | <1% | 111 | $2K |
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 officialSHIFLETT, KANOKNUCH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Kanoknuch Shiflett Dental Corp | West Covina, CA | $1.04M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.