Dental
Complete Dental Care of Shadyside
Complete Dental Care of Shadyside was paid $63K by Medicaid between Dec 2018 and Mar 2020, across 12 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 25% of everything it billed.
33Billing provider infoCOMPLETE DENTAL CARE OF SHADYSIDE
SHADYSIDE, OH 43947
SHADYSIDE, OH 43947
33aNPI1609323831assigned 09/06/2016
33bProvider typeDentist
28Total paid$63K
24GClaims2,296
24DCodes billed12
24AFirst – last monthDec 2018 – Mar 2020
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#322 of 745
Median peer was paid$38K
This provider vs. median1.6×
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 | 169 | $6K | |
| 2019 | 1,680 | $52K | |
| 2020 | 447 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 25% | 262 | 254 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 158 | 69 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 327 | 312 | $10K |
| D1110 | Prophylaxis - adult | 15% | 271 | 264 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 316 | 288 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 181 | 166 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 188 | 171 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.2% | 31 | 16 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 269 | 68 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 190 | 166 | $1K |
| D0274 | Bitewings - four radiographic images | 1.3% | 51 | 45 | $820.00 |
| D0350 | <1% | 52 | 34 | $418.54 |
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 officialLESTER, ARMANDA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Complete Dental Care of Dennison | Dennison, OH | $290K |
| Complete Dental Care of Newcmerstown | Newcomerstown, OH | $268K |
| Complete Dental Care of Martins Ferry | Martins Ferry, OH | $235K |
| Complete Dental Care of Champion Heights By Robert Doyle, DMD, LLC | Warren, OH | $142K |
| Complete Dental Care of Calcutta | East Liverpool, OH | $342.55 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.