Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHANEAN MICHELLE ANDERSON DDS PA

NPI: 1689019945 · WAKE FOREST, NC 27587 · Dentist · NPI assigned 04/30/2013

$91K
Total Medicaid Paid
4,383
Total Claims
3,716
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, SHANEAN (PRESIDENT/OWNER)
NPI Enumeration Date04/30/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 596 $11K
2019 508 $10K
2020 510 $10K
2021 611 $13K
2022 627 $14K
2023 587 $13K
2024 944 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,095 1,055 $27K
D1110 Prophylaxis - adult 613 592 $22K
D0230 Intraoral - periapical each additional radiographic image 1,068 537 $12K
D0220 Intraoral - periapical first radiographic image 673 633 $10K
D1120 Prophylaxis - child 270 261 $7K
D1208 Topical application of fluoride, excluding varnish 335 323 $5K
D0272 Bitewings - two radiographic images 217 211 $4K
D0150 Comprehensive oral evaluation - new or established patient 86 78 $3K
D0274 Bitewings - four radiographic images 26 26 $703.60