Dental
Shealy, James
Shealy, James was paid $22K by Medicaid between Jul 2024 and Dec 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoSHEALY, JAMES
CARTERSVILLE, GA 30120
CARTERSVILLE, GA 30120
33aNPI1619044724assigned 11/30/2006
33bProvider typePediatric Dentist
28Total paid$22K
24GClaims828
24DCodes billed10
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Georgia
Rank by total paid#28 of 38
Median peer was paid$58K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2024incomplete | 828 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 174 | 172 | $6K |
| D1206 | Topical application of fluoride varnish | 21% | 236 | 234 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 183 | 183 | $4K |
| D1110 | Prophylaxis - adult | 9.6% | 49 | 49 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.1% | 30 | 12 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 42 | 40 | $1K |
| D1351 | Sealant - per tooth | 4.7% | 36 | 12 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 36 | 23 | $717.80 |
| D0274 | Bitewings - four radiographic images | 2.7% | 18 | 18 | $585.91 |
| D0272 | Bitewings - two radiographic images | 1.7% | 24 | 22 | $380.94 |
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.