Dental
Shine Dental PC
Shine Dental PC was paid $64K by Medicaid between Jan 2018 and May 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.
33Billing provider infoSHINE DENTAL PC
BAYSIDE, NY 11361
BAYSIDE, NY 11361
33aNPI1720262496assigned 12/18/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$64K
24GClaims3,479
24DCodes billed7
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,021 of 2,184
Median peer was paid$54K
This provider vs. median1.2×
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 | 523 | $10K | |
| 2019 | 668 | $11K | |
| 2020 | 516 | $10K | |
| 2021 | 739 | $14K | |
| 2022 | 601 | $11K | |
| 2023 | 376 | $8K | |
| 2024incomplete | 56 | $996.64 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 46% | 903 | 902 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 887 | 885 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 779 | 777 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.6% | 710 | 709 | $6K |
| D0274 | Bitewings - four radiographic images | 4.3% | 145 | 145 | $3K |
| D0330 | Panoramic radiographic image | 1.6% | 43 | 43 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $121.44 |
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 officialSHIN, DUSTIN (PRESIDENT)