Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Helms, Shane

Helms, Shane was paid $255K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.

33Billing provider infoHELMS, SHANE
MOUNDSVILLE, WV 26041
33aNPI1801907365assigned 08/31/2006
33bProvider typeDentist
28Total paid$255K
24GClaims8,225
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in West Virginia

Rank by total paid#30 of 112
Median peer was paid$60K
This provider vs. median4.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
20181,454$49K
2019738$22K
20202,020$59K
20211,071$34K
2022977$31K
20231,022$31K
2024incomplete943$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 27% 2,584 2,216 $68K
D1110 Prophylaxis - adult 25% 1,306 1,112 $64K
D1208 Topical application of fluoride, excluding varnish 23% 2,586 2,221 $59K
D1120 Dental cleaning, childProphylaxis - child 18% 1,232 1,098 $46K
D1351 Sealant - per tooth 5.0% 423 45 $13K
D0210 Intraoral - complete series of radiographic images 1.6% 67 66 $4K
D0272 Bitewings - two radiographic images <1% 27 26 $775.00

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.