Shannon, Brian

Shannon, Brian was paid $204K by Medicaid between Jan 2018 and Aug 2023, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.

33Billing provider infoSHANNON, BRIAN
WESTERLY, RI 02891

33aNPI1790725380assigned 06/08/2006

33bProvider typePediatric Dentist

28Total paid$204K

24GClaims6,209

24DCodes billed10

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other Pediatric Dentist providers in Rhode Island

Rank by total paid#23 of 29

Median peer was paid$643K

This provider vs. median0.3×

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	2,829	$99K
2019	1,855	$59K
2020	1,344	$40K
2023	181	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	34%	1,635	1,527	$69K
D1208	Topical application of fluoride, excluding varnish	25%	1,848	1,729	$51K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	1,736	1,632	$36K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	13%	252	118	$27K
D0272	Bitewings - two radiographic images	6.4%	541	521	$13K
D1110	Prophylaxis - adult	2.0%	68	60	$4K
D0150	Comprehensive oral evaluation - new or established patient	<1%	50	39	$2K
D0274	Bitewings - four radiographic images	<1%	33	27	$1K
D0220	Intraoral - periapical first radiographic image	<1%	32	27	$480.00
D0140	Limited oral evaluation - problem focused	<1%	14	12	$467.00

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.