Shone, Devin

Shone, Devin was paid $4K by Medicaid between Feb 2018 and Jan 2019, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoSHONE, DEVIN
BLOOMINGTON, IN 47403

33aNPI1740628619assigned 06/12/2013

33bProvider typePediatric Dentist

28Total paid$4K

24GClaims597

24DCodes billed3

24AFirst – last monthFeb 2018 – Jan 2019

Compared with peers

Next to other Pediatric Dentist providers in Indiana

Rank by total paid#135 of 155

Median peer was paid$414K

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
2018	540	$2K
2019	57	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	152	123	$1K
D1206	Topical application of fluoride varnish	35%	245	203	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	200	172	$1K

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.