Dental
Ballou, Sheldon
Ballou, Sheldon was paid $26K by Medicaid between Jan 2023 and Sep 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 52% of everything it billed.
33Billing provider infoBALLOU, SHELDON
CAVE CITY, KY 42127
CAVE CITY, KY 42127
33aNPI1578668562assigned 09/14/2006
33bProvider typeDentist
28Total paid$26K
24GClaims864
24DCodes billed9
24AFirst – last monthJan 2023 – Sep 2024
Compared with peers
Next to other Dentist providers in Kentucky
Rank by total paid#229 of 350
Median peer was paid$95K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 281 | $9K | |
| 2024incomplete | 583 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 52% | 246 | 232 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 175 | 167 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 271 | 254 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 59 | 59 | $2K |
| D0191 | 2.4% | 29 | 25 | $625.00 | |
| D1110 | Prophylaxis - adult | 2.1% | 12 | 12 | $555.00 |
| D0602 | 0% | 34 | 34 | $0.00 | |
| D0601 | 0% | 23 | 23 | $0.00 | |
| D0603 | 0% | 15 | 15 | $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.