Mattox, Shayna

Mattox, Shayna was paid $36K by Medicaid between Jan 2018 and Apr 2018, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.

33Billing provider infoMATTOX, SHAYNA
GRETNA, NE 68028

33aNPI1811334857assigned 05/31/2013

33bProvider typePediatric Dentist

28Total paid$36K

24GClaims933

24DCodes billed10

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other Pediatric Dentist providers in Nebraska

Rank by total paid#42 of 52

Median peer was paid$292K

This provider vs. median0.1×

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	933	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	21%	173	167	$8K
D1206	Topical application of fluoride varnish	17%	218	210	$6K
D0150	Comprehensive oral evaluation - new or established patient	13%	97	92	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	125	122	$4K
D1351	Sealant - per tooth	11%	109	25	$4K
D0330	Panoramic radiographic image	8.3%	39	37	$3K
D0272	Bitewings - two radiographic images	6.9%	89	88	$2K
D1110	Prophylaxis - adult	4.8%	27	26	$2K
D0274	Bitewings - four radiographic images	3.0%	25	25	$1K
D0220	Intraoral - periapical first radiographic image	1.9%	31	30	$682.00

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.