Dental
Mao, Shiyuan
Mao, Shiyuan was paid $101K by Medicaid between Sep 2023 and Dec 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoMAO, SHIYUAN
WESTERLY, RI 02891
WESTERLY, RI 02891
33aNPI1700464443assigned 04/01/2021
33bProvider typePediatric Dentist
28Total paid$101K
24GClaims3,254
24DCodes billed9
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Rhode Island
Rank by total paid#25 of 29
Median peer was paid$643K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 78 | $1K | |
| 2024incomplete | 3,176 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 833 | 305 | $34K |
| D1206 | Topical application of fluoride varnish | 23% | 668 | 233 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 867 | 394 | $17K |
| D1351 | Sealant - per tooth | 11% | 368 | 30 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.9% | 301 | 70 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 104 | 75 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 50 | 12 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 43 | 30 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 20 | 12 | $656.00 |
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.