Dental
King, Shellese
King, Shellese was paid $282.00 by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D1351, Sealant - per tooth — 30% of everything it billed.
33Billing provider infoKING, SHELLESE
CASA GRANDE, AZ 85122
CASA GRANDE, AZ 85122
33aNPI1790740512assigned 04/18/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$282.00
24GClaims22,293
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#311 of 530
Median peer was paid$920.17
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 | 6,586 | $282.00 | |
| 2019 | 5,326 | $0.00 | |
| 2020 | 461 | $0.00 | |
| 2021 | 625 | $0.00 | |
| 2022 | 2,117 | $0.00 | |
| 2023 | 3,145 | $0.00 | |
| 2024incomplete | 4,033 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 30% | 308 | 115 | $84.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 2,745 | 2,728 | $68.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 1,189 | 698 | $64.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 3,028 | 3,012 | $22.00 |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 2,963 | 2,945 | $15.00 |
| D0272 | Bitewings - two radiographic images | 5.0% | 2,104 | 2,079 | $14.00 |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 3,514 | 3,462 | $10.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 3,281 | 3,203 | $5.00 |
| D0603 | 0% | 123 | 121 | $0.00 | |
| D0601 | 0% | 14 | 13 | $0.00 | |
| D0602 | 0% | 116 | 111 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 73 | 72 | $0.00 |
12 more codes
| D9248 | 0% | 286 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 204 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 87 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 102 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 599 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 535 | $0.00 |
| D1999 | 0% | 123 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 376 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 295 | $0.00 |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 37 | $0.00 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 127 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 64 | $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.