Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Beverly Hills › NPI 1770677221
Dental

Sheils, Melanie

Sheils, Melanie was paid $143K by Medicaid between Jan 2018 and May 2019, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.

33Billing provider infoSHEILS, MELANIE
BEVERLY HILLS, MI 48025
33aNPI1770677221assigned 10/02/2006
28Total paid$143K
24GClaims4,945
24DCodes billed11
24AFirst – last monthJan 2018 – May 2019
Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#307 of 1,554
Median peer was paid$15K
This provider vs. median9.8×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20184,843$141K
2019102$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 28% 1,058 1,058 $40K
D1351 Sealant - per tooth 17% 862 329 $25K
D1208 Topical application of fluoride, excluding varnish 17% 995 995 $24K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 16% 847 847 $22K
D0240 8.6% 576 288 $12K
D0274 Bitewings - four radiographic images 6.5% 260 260 $9K
D0150 Comprehensive oral evaluation - new or established patient 5.3% 178 178 $8K
D1206 Topical application of fluoride varnish <1% 77 77 $692.17
D0272 Bitewings - two radiographic images <1% 32 32 $654.59
D0220 Intraoral - periapical first radiographic image <1% 30 30 $209.66
D0230 Intraoral - periapical each additional radiographic image <1% 30 30 $111.02

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.