Glen Shanock's Dentistry, PC

Glen Shanock's Dentistry, PC was paid $8K by Medicaid between Jul 2020 and May 2023, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 53% of everything it billed.

33Billing provider infoGLEN SHANOCK'S DENTISTRY, PC
LONG BEACH, NY 11561

33aNPI1730628884assigned 02/21/2017

33bProvider typePediatric Dentist

28Total paid$8K

24GClaims313

24DCodes billed4

24AFirst – last monthJul 2020 – May 2023

Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#445 of 514

Median peer was paid$196K

This provider vs. median0.0×

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
2020	84	$2K
2021	39	$1K
2022	103	$3K
2023	87	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	53%	133	133	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	128	128	$3K
D1206	Topical application of fluoride varnish	11%	40	40	$852.72
D1208	Topical application of fluoride, excluding varnish	1.7%	12	12	$130.80

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 officialSHANOCK, GLEN (OWNER)