Lam, Sheila

Lam, Sheila was paid $52K by Medicaid between Mar 2018 and Feb 2020, across 10 billing codes. Its largest line is D1351, Sealant - per tooth — 22% of everything it billed.

33Billing provider infoLAM, SHEILA
BALLWIN, MO 63011

33aNPI1699725705assigned 05/11/2006

33bProvider typeDentist

28Total paid$52K

24GClaims2,990

24DCodes billed10

24AFirst – last monthMar 2018 – Feb 2020

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#175 of 284

Median peer was paid$109K

This provider vs. median0.5×

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	1,783	$34K
2019	1,115	$17K
2020	92	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	22%	647	202	$11K
D1120	Dental cleaning, childProphylaxis - child	19%	515	495	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	367	353	$8K
D1206	Topical application of fluoride varnish	13%	534	519	$7K
D0150	Comprehensive oral evaluation - new or established patient	9.8%	138	133	$5K
D0272	Bitewings - two radiographic images	8.3%	324	309	$4K
D0230	Intraoral - periapical each additional radiographic image	4.1%	210	146	$2K
D0274	Bitewings - four radiographic images	3.3%	89	89	$2K
D0220	Intraoral - periapical first radiographic image	2.6%	151	147	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.6%	15	12	$821.00

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.