Dental
White, Shannon
White, Shannon was paid $584K by Medicaid between Jan 2018 and Jun 2019, across 25 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoWHITE, SHANNON
SPRINGFIELD, MO 65806
SPRINGFIELD, MO 65806
33aNPI1447698733assigned 06/07/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$584K
24GClaims20,327
24DCodes billed25
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#22 of 260
Median peer was paid$78K
This provider vs. median7.5×
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 | 13,844 | $397K | |
| 2019 | 6,483 | $188K |
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 | 14% | 1,127 | 842 | $79K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 2,535 | 2,460 | $70K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 825 | 294 | $67K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 2,420 | 2,341 | $53K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.9% | 966 | 782 | $52K |
| D0274 | Bitewings - four radiographic images | 8.5% | 2,098 | 2,017 | $49K |
| D1206 | Topical application of fluoride varnish | 7.2% | 2,958 | 2,861 | $42K |
| D7140 | Extraction, erupted tooth or exposed root | 4.4% | 525 | 237 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 577 | 550 | $25K |
| D1110 | Prophylaxis - adult | 3.9% | 779 | 754 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 1,422 | 849 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 2.5% | 678 | 631 | $15K |
13 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 1,379 | $13K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.2% | 231 | $13K |
| D0330 | Panoramic radiographic image | 1.8% | 373 | $10K |
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 233 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 310 | $7K |
| D1351 | Sealant - per tooth | <1% | 235 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 343 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 150 | $3K |
| D2330 | <1% | 62 | $3K | |
| D2331 | <1% | 31 | $2K | |
| D0240 | <1% | 43 | $446.00 | |
| D0170 | <1% | 12 | $336.00 | |
| D0273 | <1% | 15 | $285.00 |
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.