Clinic
Kevin Brent Shedlock, DDS, PC
Kevin Brent Shedlock, DDS, PC was paid $60K by Medicaid between Feb 2018 and Jul 2024, across 10 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.
33Billing provider infoKEVIN BRENT SHEDLOCK, DDS, PC
GLENNALLEN, AK 99588
GLENNALLEN, AK 99588
33aNPI1336547926assigned 12/12/2014
33bProvider typeDental Clinic/Center
28Total paid$60K
24GClaims982
24DCodes billed10
24AFirst – last monthFeb 2018 – Jul 2024
Compared with peers
Next to other Dental Clinic/Center providers in Alaska
Rank by total paid#24 of 40
Median peer was paid$94K
This provider vs. median0.6×
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 | 126 | $6K | |
| 2019 | 193 | $14K | |
| 2020 | 170 | $10K | |
| 2021 | 191 | $11K | |
| 2022 | 155 | $6K | |
| 2023 | 131 | $12K | |
| 2024incomplete | 16 | $456.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 26% | 109 | 52 | $16K |
| D0330 | Panoramic radiographic image | 19% | 147 | 124 | $12K |
| D1206 | Topical application of fluoride varnish | 18% | 435 | 365 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 15% | 68 | 24 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.1% | 79 | 68 | $4K |
| D0274 | Bitewings - four radiographic images | 5.5% | 55 | 55 | $3K |
| D0140 | Limited oral evaluation - problem focused | 4.9% | 49 | 43 | $3K |
| D1110 | Prophylaxis - adult | 1.9% | 13 | 13 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 14 | 14 | $635.18 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 12 | $317.59 |
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 officialSHEDLOCK, KEVIN (DENTIST)