Collier, Shanetha

Collier, Shanetha was paid $23K by Medicaid between Jun 2021 and Sep 2021, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 36% of everything it billed.

33Billing provider infoCOLLIER, SHANETHA
TISHOMINGO, OK 73460

33aNPI1487091047assigned 05/22/2013

33bProvider typeDentist

28Total paid$23K

24GClaims767

24DCodes billed12

24AFirst – last monthJun 2021 – Sep 2021

Compared with peers

Next to other Dentist providers in Oklahoma

Rank by total paid#107 of 150

Median peer was paid$154K

This provider vs. median0.1×

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
2021	767	$23K

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	36%	115	56	$8K
D1110	Prophylaxis - adult	15%	81	81	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	111	111	$3K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	11%	91	82	$3K
D1206	Topical application of fluoride varnish	8.7%	98	98	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	6.8%	18	12	$2K
D0274	Bitewings - four radiographic images	4.8%	41	41	$1K
D1120	Dental cleaning, childProphylaxis - child	2.6%	18	18	$590.98
D0230	Intraoral - periapical each additional radiographic image	1.5%	34	17	$332.64
D0220	Intraoral - periapical first radiographic image	1.2%	21	21	$267.03
D1999		0%	33	33	$0.00
D1330		0%	106	106	$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.