Dental
Yvonne Shu D.D.S., INC
Yvonne Shu D.D.S., INC was paid $1.02M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 31% of everything it billed.
33Billing provider infoYVONNE SHU D.D.S., INC
POMONA, CA 91767
POMONA, CA 91767
33aNPI1366599060assigned 01/04/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.02M
24GClaims40,198
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#563 of 2,668
Median peer was paid$173K
This provider vs. median5.9×
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 | 5,964 | $68K | |
| 2019 | 5,380 | $75K | |
| 2020 | 5,194 | $87K | |
| 2021 | 5,754 | $95K | |
| 2022 | 4,877 | $127K | |
| 2023 | 6,610 | $299K | |
| 2024incomplete | 6,419 | $273K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 31% | 677 | 401 | $317K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,488 | 2,481 | $134K |
| D1110 | Prophylaxis - adult | 9.7% | 1,152 | 1,147 | $99K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.5% | 21,342 | 3,815 | $87K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 2,041 | 2,037 | $76K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 1,118 | 1,115 | $70K |
| D2140 | 4.1% | 778 | 279 | $42K | |
| D1208 | Topical application of fluoride, excluding varnish | 4.1% | 3,436 | 3,422 | $42K |
| D0272 | Bitewings - two radiographic images | 4.0% | 3,480 | 3,469 | $41K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 3.7% | 81 | 68 | $38K |
| D0350 | 2.6% | 2,702 | 917 | $26K | |
| D2954 | 2.1% | 203 | 140 | $21K |
7 more codes
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 officialSHU RODRIGUEZ, YVONNE (PRESIDENT/ OWNER)