Dryer, Shannon

Dryer, Shannon was paid $145K by Medicaid between Jan 2018 and Jul 2018, across 15 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 13% of everything it billed.

33Billing provider infoDRYER, SHANNON
COEUR D ALENE, ID 83814

33aNPI1629482070assigned 06/13/2014

33bProvider typeDentist

28Total paid$145K

24GClaims2,124

24DCodes billed15

24AFirst – last monthJan 2018 – Jul 2018

Compared with peers

Next to other Dentist providers in Idaho

Rank by total paid#21 of 89

Median peer was paid$16K

This provider vs. median9.3×

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
2018	2,124	$145K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	13%	388	380	$18K
D1110	Prophylaxis - adult	11%	186	182	$16K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	11%	75	49	$16K
D2391	Resin-based composite - one surface, posterior, primary or permanent	10%	94	69	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.6%	299	295	$14K
D1120	Dental cleaning, childProphylaxis - child	8.8%	213	210	$13K
D0330	Panoramic radiographic image	7.6%	99	96	$11K
D0150	Comprehensive oral evaluation - new or established patient	6.8%	122	120	$10K
D0274	Bitewings - four radiographic images	6.6%	163	160	$10K
D1351	Sealant - per tooth	6.5%	185	64	$9K
D0272	Bitewings - two radiographic images	4.6%	156	156	$7K
D0220	Intraoral - periapical first radiographic image	1.8%	97	93	$3K

3 more codes

D7140	Extraction, erupted tooth or exposed root	1.7%	16	$3K
D0140	Limited oral evaluation - problem focused	<1%	12	$948.00
D0230	Intraoral - periapical each additional radiographic image	<1%	19	$620.00

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.