Dental
Shelton Dentist LLC
Shelton Dentist LLC was paid $160K by Medicaid between Jan 2018 and Jul 2020, across 12 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 34% of everything it billed.
33Billing provider infoSHELTON DENTIST LLC
SHELTON, CT 06484
SHELTON, CT 06484
33aNPI1396139465assigned 03/26/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$160K
24GClaims3,340
24DCodes billed12
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#167 of 431
Median peer was paid$79K
This provider vs. median2.0×
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 | 1,147 | $55K | |
| 2019 | 1,638 | $75K | |
| 2020 | 555 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 34% | 584 | 283 | $55K |
| D2394 | 11% | 149 | 89 | $18K | |
| D1110 | Prophylaxis - adult | 11% | 535 | 524 | $17K |
| D0274 | Bitewings - four radiographic images | 9.1% | 525 | 513 | $15K |
| D2161 | 8.3% | 126 | 62 | $13K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 584 | 576 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 6.7% | 201 | 195 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 232 | 217 | $8K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 219 | 209 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 47 | 27 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 126 | 113 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | 12 | $312.62 |
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 officialLEE, SEUNGHYUN (OWNER)