Dental
Shenandoah Valley Medical System, INC.
Shenandoah Valley Medical System, INC. was paid $5.07M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 71% of everything it billed.
33Billing provider infoSHENANDOAH VALLEY MEDICAL SYSTEM, INC.
MARTINSBURG, WV 25404
MARTINSBURG, WV 25404
33aNPI1295062719assigned 11/04/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$5.07M
24GClaims164,403
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in West Virginia
Rank by total paid#2 of 193
Median peer was paid$44K
This provider vs. median115×
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 | 8,842 | $142K | |
| 2019 | 17,296 | $211K | |
| 2020 | 15,712 | $411K | |
| 2021 | 25,457 | $775K | |
| 2022 | 38,833 | $1.14M | |
| 2023 | 31,831 | $1.28M | |
| 2024incomplete | 26,432 | $1.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 71% | 25,900 | 22,775 | $3.61M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 7.2% | 26,383 | 21,829 | $367K |
| D9999 | Unspecified adjunctive procedure, by report | 2.7% | 770 | 666 | $135K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 11,227 | 10,285 | $117K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.0% | 13,416 | 12,351 | $99K |
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 16,424 | 15,118 | $95K |
| D1110 | Prophylaxis - adult | 1.9% | 6,300 | 5,866 | $94K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 3,492 | 2,578 | $76K |
| D0330 | Panoramic radiographic image | 1.3% | 4,446 | 4,083 | $67K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 4,008 | 2,141 | $63K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,950 | 2,059 | $48K |
| D0274 | Bitewings - four radiographic images | <1% | 5,938 | 5,430 | $48K |
22 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 5,871 | $47K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 4,294 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,397 | $27K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 7,866 | $24K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 666 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14,767 | $18K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 223 | $17K |
| D0272 | Bitewings - two radiographic images | <1% | 1,888 | $11K |
| D1351 | Sealant - per tooth | <1% | 1,783 | $11K |
| D2335 | <1% | 308 | $10K | |
| D2394 | <1% | 161 | $6K | |
| D9995 | <1% | 301 | $6K | |
| D2332 | <1% | 105 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 447 | $3K |
| D2330 | <1% | 18 | $748.00 | |
| D2331 | <1% | 59 | $679.80 | |
| D0270 | <1% | 81 | $99.00 | |
| D3120 | 0% | 247 | $0.00 | |
| D1310 | 0% | 182 | $0.00 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 14 | $0.00 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 382 | $0.00 |
| D0460 | 0% | 89 | $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.
From NPPES
Who's on the registration
Authorized officialHASSING, MIKE (CEO)