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
BEVERLY HILLS, MI 48025
33aNPI1770677221assigned 10/02/2006
33bProvider typeGeneral Practice Dentistry
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
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 | 4,843 | $141K | |
| 2019 | 102 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.