Dental
Shannon, Bryan
Shannon, Bryan was paid $229.14 by Medicaid between Jul 2022 and Sep 2022, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 59% of everything it billed.
33Billing provider infoSHANNON, BRYAN
PULASKI, TN 38478
PULASKI, TN 38478
33aNPI1831825124assigned 07/28/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$229.14
24GClaims282
24DCodes billed4
24AFirst – last monthJul 2022 – Sep 2022
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#332 of 336
Median peer was paid$123K
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 | |
|---|---|---|---|
| 2022 | 282 | $229.14 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 59% | 78 | 50 | $134.26 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 90 | 58 | $49.78 |
| D1208 | Topical application of fluoride, excluding varnish | 20% | 92 | 57 | $45.10 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 22 | 14 | $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.