Dental
Kanoknuch Shiflett Dental Corp
Kanoknuch Shiflett Dental Corp was paid $1.04M by Medicaid between Jan 2023 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoKANOKNUCH SHIFLETT DENTAL CORP
WEST COVINA, CA 91790
WEST COVINA, CA 91790
33aNPI1295215168assigned 08/20/2018
33bProvider typePediatric Dentist
28Total paid$1.04M
24GClaims35,869
24DCodes billed19
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#131 of 332
Median peer was paid$450K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2023 | 16,551 | $464K | |
| 2024incomplete | 19,318 | $572K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 5,287 | 5,285 | $271K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 2,957 | 2,957 | $195K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,790 | 1,790 | $118K |
| D1208 | Topical application of fluoride, excluding varnish | 9.5% | 5,240 | 5,236 | $99K |
| D1310 | 9.3% | 2,125 | 2,125 | $96K | |
| D1351 | Sealant - per tooth | 4.6% | 1,266 | 462 | $48K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 9,128 | 3,585 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 411 | 267 | $26K |
| D0272 | Bitewings - two radiographic images | 2.4% | 2,080 | 2,078 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 429 | 254 | $22K |
| D0603 | 2.0% | 1,412 | 1,412 | $21K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.8% | 284 | 284 | $19K |
7 more codes
| D0274 | Bitewings - four radiographic images | 1.6% | 772 | $16K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 343 | $14K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 858 | $10K |
| D0350 | <1% | 960 | $9K | |
| D0601 | <1% | 413 | $6K | |
| D9430 | <1% | 85 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 29 | $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 (CEO)
| Provider | Location | Paid |
|---|---|---|
| Kanoknuch S. Shiflett, D.D.S. INC. | West Covina, CA | $1.86M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.