STTT Dental Services LLC Corp

STTT Dental Services LLC Corp was paid $72K by Medicaid between Jan 2018 and Mar 2023, across 11 billing codes. Its largest line is D1351, Sealant - per tooth — 40% of everything it billed.

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	3,232	$66K
2019	309	$5K
2023	40	$850.40

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	40%	1,311	255	$29K
D1208	Topical application of fluoride, excluding varnish	11%	525	477	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.7%	379	349	$7K
D1120	Dental cleaning, childProphylaxis - child	9.3%	258	233	$7K
D0274	Bitewings - four radiographic images	9.1%	262	232	$6K
D1110	Prophylaxis - adult	8.7%	179	166	$6K
D0220	Intraoral - periapical first radiographic image	4.9%	332	298	$3K
D0230	Intraoral - periapical each additional radiographic image	3.3%	272	241	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.6%	17	13	$1K
D0330	Panoramic radiographic image	1.3%	18	17	$940.00
D0150	Comprehensive oral evaluation - new or established patient	1.1%	28	27	$783.00

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.

From NPPES

Who's on the registration

Authorized officialSHAWHAN, COLIN (DENTIST)