Dental
Shirley, Thomas
Shirley, Thomas was paid $1.02M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoSHIRLEY, THOMAS
DERIDDER, LA 70634
DERIDDER, LA 70634
33aNPI1902921489assigned 03/21/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.02M
24GClaims24,695
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Louisiana
Rank by total paid#54 of 412
Median peer was paid$83K
This provider vs. median12×
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 | 3,537 | $124K | |
| 2019 | 3,488 | $117K | |
| 2020 | 2,123 | $71K | |
| 2021 | 2,687 | $106K | |
| 2022 | 2,941 | $121K | |
| 2023 | 4,879 | $215K | |
| 2024incomplete | 5,040 | $269K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 5,824 | 5,766 | $294K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 5,536 | 5,482 | $161K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 1,214 | 805 | $141K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 1,273 | 826 | $104K |
| D0272 | Bitewings - two radiographic images | 9.8% | 4,420 | 4,374 | $100K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 2,353 | 2,324 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 651 | 643 | $34K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 777 | 738 | $34K |
| D0330 | Panoramic radiographic image | 2.8% | 468 | 464 | $28K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.9% | 238 | 148 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 1,091 | 1,061 | $17K |
| D2140 | 1.5% | 234 | 155 | $15K |
5 more codes
| D1120 | Dental cleaning, child | 1.5% | 458 | $15K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 13 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 13 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 112 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 20 | $216.41 |
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.