Dental
Shelley, Spencer
Shelley, Spencer was paid $249.48 by Medicaid between May 2018 and May 2018, across 1 billing code. Its largest line is D1206, Topical application of fluoride varnish — 100% of everything it billed.
33Billing provider infoSHELLEY, SPENCER
ONLEY, VA 23418
ONLEY, VA 23418
33aNPI1831351774assigned 07/01/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$249.48
24GClaims12
24DCodes billed1
24AFirst – last monthMay 2018 – May 2018
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#483 of 549
Median peer was paid$29K
This provider vs. median0.0×
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 | 12 | $249.48 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 100% | 12 | 12 | $249.48 |
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.