Dental
Stephens, Shelby
Stephens, Shelby was paid $955.35 by Medicaid between Jan 2019 and Jul 2019, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.
33Billing provider infoSTEPHENS, SHELBY
BURKESVILLE, KY 42717
BURKESVILLE, KY 42717
33aNPI1740773654assigned 06/14/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$955.35
24GClaims66
24DCodes billed2
24AFirst – last monthJan 2019 – Jul 2019
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#439 of 462
Median peer was paid$106K
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 | |
|---|---|---|---|
| 2019 | 66 | $955.35 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 55% | 31 | 28 | $528.75 |
| D1208 | Topical application of fluoride, excluding varnish | 45% | 35 | 30 | $426.60 |
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.