Hartsell, Shutong

Hartsell, Shutong was paid $16K by Medicaid between Jan 2018 and May 2019, across 8 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 32% of everything it billed.

33Billing provider infoHARTSELL, SHUTONG
ARLINGTON, VA 22202

33aNPI1851813430assigned 07/14/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$16K

24GClaims683

24DCodes billed8

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other General Practice Dentistry providers in Virginia

Rank by total paid#324 of 549

Median peer was paid$29K

This provider vs. median0.6×

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	493	$11K
2019	190	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	32%	269	251	$5K
D1110	Prophylaxis - adult	17%	53	47	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	104	97	$3K
D0150	Comprehensive oral evaluation - new or established patient	11%	32	28	$2K
D0220	Intraoral - periapical first radiographic image	8.0%	95	87	$1K
D1120	Dental cleaning, childProphylaxis - child	6.3%	29	26	$1K
D0274	Bitewings - four radiographic images	5.3%	30	26	$861.39
D0230	Intraoral - periapical each additional radiographic image	4.1%	71	48	$667.32

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.