Dental
Shakamak Family Dentistry, LLC
Shakamak Family Dentistry, LLC was paid $271K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoSHAKAMAK FAMILY DENTISTRY, LLC
JASONVILLE, IN 47438
JASONVILLE, IN 47438
33aNPI1568992022assigned 06/18/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$271K
24GClaims8,116
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#192 of 723
Median peer was paid$60K
This provider vs. median4.6×
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 | 848 | $4K | |
| 2019 | 1,125 | $42K | |
| 2020 | 1,088 | $36K | |
| 2021 | 1,355 | $45K | |
| 2022 | 1,480 | $61K | |
| 2023 | 1,384 | $48K | |
| 2024incomplete | 836 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 2,181 | 2,063 | $97K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 2,325 | 2,194 | $48K |
| D0274 | Bitewings - four radiographic images | 11% | 858 | 811 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | 9.9% | 299 | 118 | $27K |
| D0140 | Limited oral evaluation - problem focused | 6.7% | 510 | 469 | $18K |
| D1206 | Topical application of fluoride varnish | 4.8% | 638 | 602 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 327 | 301 | $12K |
| D0330 | Panoramic radiographic image | 3.4% | 145 | 139 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 92 | 53 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 343 | 307 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.3% | 134 | 131 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 33 | 30 | $2K |
2 more codes
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 officialKELLETT, STEVEN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Steven W Kellett | Linton, IN | $313K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.