Moore, Shane

Moore, Shane was paid $20K by Medicaid between Dec 2022 and Jul 2023, across 12 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 23% of everything it billed.

33Billing provider infoMOORE, SHANE
AMARILLO, TX 79109

33aNPI1538233622assigned 11/20/2006

33bProvider typePediatric Dentist

28Total paid$20K

24GClaims938

24DCodes billed12

24AFirst – last monthDec 2022 – Jul 2023

Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#541 of 693

Median peer was paid$252K

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
2022	16	$220.50
2023	922	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0145	Oral evaluation for a patient under three years of age	23%	33	33	$5K
D1120	Dental cleaning, childProphylaxis - child	18%	106	106	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	126	126	$4K
D1206	Topical application of fluoride varnish	12%	176	176	$2K
D1110	Prophylaxis - adult	9.2%	37	37	$2K
D0230	Intraoral - periapical each additional radiographic image	6.7%	132	62	$1K
D0220	Intraoral - periapical first radiographic image	4.4%	83	82	$898.62
D0274	Bitewings - four radiographic images	3.8%	22	22	$761.42
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.9%	22	22	$590.22
D0272	Bitewings - two radiographic images	2.9%	28	28	$584.50
D0603		0%	78	78	$0.00
D0602		0%	95	95	$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.