Dental
Shawnee Dental
Shawnee Dental was paid $8K by Medicaid between Mar 2018 and Jan 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoSHAWNEE DENTAL
SHAWNEE, KS 66216
SHAWNEE, KS 66216
33aNPI1306039987assigned 08/27/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims663
24DCodes billed10
24AFirst – last monthMar 2018 – Jan 2021
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#141 of 203
Median peer was paid$40K
This provider vs. median0.2×
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 | 357 | $7K | |
| 2020 | 218 | $1K | |
| 2021 | 88 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 142 | 99 | $2K |
| D0274 | Bitewings - four radiographic images | 19% | 77 | 66 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 50 | 48 | $966.00 |
| D0220 | Intraoral - periapical first radiographic image | 9.9% | 80 | 68 | $793.27 |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.8% | 130 | 73 | $709.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 8.2% | 67 | 57 | $659.06 |
| D1208 | Topical application of fluoride, excluding varnish | 6.6% | 31 | 31 | $527.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 14 | 14 | $360.00 |
| D1999 | 0% | 32 | 16 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 40 | 16 | $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 officialBOE, IRWIN (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Antioch Dental INC | Overland Park, KS | $25K |
| Advanced Dental P.A. | Paola, KS | $777.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.