Dental
Shafer, Kathy
Shafer, Kathy was paid $5.20M by Medicaid between Jan 2018 and Apr 2024, across 42 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 19% of everything it billed.
33Billing provider infoSHAFER, KATHY
LITCHFIELD, IL 62056
LITCHFIELD, IL 62056
33aNPI1750499729assigned 08/29/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$5.20M
24GClaims114,932
24DCodes billed42
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#7 of 1,017
Median peer was paid$123K
This provider vs. median42×
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 | 16,751 | $522K | |
| 2019 | 19,739 | $592K | |
| 2020 | 12,747 | $368K | |
| 2021 | 25,174 | $1.02M | |
| 2022 | 20,737 | $1.29M | |
| 2023 | 19,501 | $1.41M | |
| 2024incomplete | 283 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 19% | 13,404 | 7,066 | $1.01M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 4,470 | 3,663 | $351K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.9% | 9,191 | 8,153 | $307K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 4,009 | 3,144 | $258K |
| D2740 | Crown - porcelain/ceramic | 4.5% | 531 | 417 | $235K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 8,833 | 8,171 | $233K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.4% | 1,660 | 1,124 | $227K |
| D0330 | Panoramic radiographic image | 4.3% | 5,876 | 5,480 | $222K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 7,011 | 6,510 | $218K |
| D0140 | Limited oral evaluation - problem focused | 3.4% | 7,421 | 6,864 | $176K |
| D1206 | Topical application of fluoride varnish | 3.3% | 5,822 | 5,419 | $169K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 5,918 | 5,490 | $150K |
30 more codes
| D4341 | 2.8% | 1,438 | $145K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.5% | 312 | $128K |
| D1110 | Prophylaxis - adult | 2.4% | 2,632 | $123K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.3% | 1,310 | $121K |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 3,502 | $116K |
| D3310 | 2.2% | 458 | $115K | |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 9,332 | $100K |
| D0274 | Bitewings - four radiographic images | 1.7% | 4,231 | $91K |
| D5110 | 1.5% | 175 | $79K | |
| D1351 | Sealant - per tooth | 1.4% | 1,362 | $71K |
| D2331 | 1.4% | 1,002 | $71K | |
| D2330 | 1.3% | 1,111 | $68K | |
| D2950 | 1.2% | 525 | $63K | |
| D2335 | 1.1% | 538 | $56K | |
| D4910 | <1% | 777 | $51K | |
| D0272 | Bitewings - two radiographic images | <1% | 3,217 | $42K |
| D4342 | <1% | 378 | $31K | |
| D5120 | <1% | 76 | $30K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,418 | $30K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 356 | $29K |
| D0270 | <1% | 2,606 | $25K | |
| D2332 | <1% | 267 | $23K | |
| D1354 | <1% | 492 | $15K | |
| D9630 | <1% | 823 | $14K | |
| D2954 | <1% | 27 | $4K | |
| D2394 | <1% | 13 | $3K | |
| D2160 | <1% | 42 | $2K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 48 | $2K |
| D0603 | <1% | 299 | $2.25 | |
| D0602 | 0% | 19 | $0.00 |
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.