Dental
Shebah Dental PLLC
Shebah Dental PLLC was paid $2K by Medicaid between Dec 2020 and Jul 2022, across 8 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 28% of everything it billed.
33Billing provider infoSHEBAH DENTAL PLLC
CONVERSE, TX 78109
CONVERSE, TX 78109
33aNPI1629414941assigned 05/14/2013
33bProvider typeDentist
28Total paid$2K
24GClaims342
24DCodes billed8
24AFirst – last monthDec 2020 – Jul 2022
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,350 of 1,678
Median peer was paid$35K
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 | |
|---|---|---|---|
| 2020 | 30 | $115.92 | |
| 2021 | 147 | $615.40 | |
| 2022 | 165 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 28% | 85 | 78 | $525.15 |
| D0220 | Intraoral - periapical first radiographic image | 23% | 64 | 53 | $424.96 |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 12 | 12 | $353.20 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 12 | 12 | $259.65 |
| D0230 | Intraoral - periapical each additional radiographic image | 9.6% | 34 | 27 | $178.43 |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 12 | 12 | $110.28 |
| D0603 | 0% | 61 | 51 | $0.00 | |
| D0602 | 0% | 62 | 54 | $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.
From NPPES
Who's on the registration
Authorized officialOLUWADARA, OLUWADAYO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Oluwadara Dental Corporation | Rancho Cucamonga, CA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.