SHELLEY W. MCDONALD, DMD, PA
NPI: 1285395517
· MERIDIAN, MS 39301
· Pediatric Dentist
· NPI assigned 01/08/2022
$260K
Total Medicaid Paid
Provider Details
| Authorized Official | MCDONALD, SHELLEY (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 01/08/2022 |
Related Entities
Other providers sharing the same authorized official: MCDONALD, SHELLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
4,244 |
$48K |
| 2023 |
3,161 |
$96K |
| 2024 |
3,142 |
$116K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
3,045 |
2,474 |
$68K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
718 |
364 |
$57K |
| D0120 |
Periodic oral evaluation - established patient |
2,628 |
2,158 |
$53K |
| D1206 |
Topical application of fluoride varnish |
2,685 |
2,157 |
$44K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
342 |
169 |
$17K |
| D0272 |
Bitewings - two radiographic images |
575 |
437 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
177 |
127 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
190 |
187 |
$4K |
| D1351 |
Sealant - per tooth |
80 |
28 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
93 |
25 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
12 |
$176.57 |