Dental
Shannon M. Pye, DMD, PA
Shannon M. Pye, DMD, PA was paid $163K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 48% of everything it billed.
33Billing provider infoSHANNON M. PYE, DMD, PA
WALTERBORO, SC 29488
WALTERBORO, SC 29488
33aNPI1669672929assigned 07/24/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$163K
24GClaims5,019
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#142 of 331
Median peer was paid$75K
This provider vs. median2.2×
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 | 847 | $24K | |
| 2019 | 899 | $27K | |
| 2020 | 507 | $16K | |
| 2021 | 778 | $28K | |
| 2022 | 757 | $26K | |
| 2023 | 647 | $21K | |
| 2024incomplete | 584 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 48% | 1,600 | 1,600 | $78K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 1,508 | 1,508 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 8.1% | 815 | 815 | $13K |
| D0274 | Bitewings - four radiographic images | 8.0% | 514 | 514 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.9% | 131 | 89 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 81 | 81 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 32 | 24 | $2K |
| D0272 | Bitewings - two radiographic images | 1.4% | 127 | 127 | $2K |
| D1206 | Topical application of fluoride varnish | 1.2% | 116 | 116 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 21 | 13 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 38 | 38 | $1K |
| D0330 | Panoramic radiographic image | <1% | 24 | 24 | $1K |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | $153.96 |
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 officialPYE, SHANNON (OWNER)