Bethel, Shirley

Bethel, Shirley was paid $33K by Medicaid between Jan 2018 and Mar 2021, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoBETHEL, SHIRLEY
CHANTILLY, VA 20151

33aNPI1548456106assigned 09/18/2007

33bProvider typePediatric Dentist

28Total paid$33K

24GClaims1,283

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Pediatric Dentist providers in Virginia

Rank by total paid#105 of 140

Median peer was paid$234K

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
2018	460	$13K
2019	504	$12K
2020	277	$6K
2021	42	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	373	373	$12K
D1208	Topical application of fluoride, excluding varnish	29%	473	473	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	364	364	$7K
D9920		10%	49	44	$3K
D0240		<1%	24	12	$294.48

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.