Dental
Aj Shannon DMD PLC
Aj Shannon DMD PLC was paid $398K by Medicaid between Jan 2018 and Sep 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoAJ SHANNON DMD PLC
VIENNA, VA 22180
VIENNA, VA 22180
33aNPI1962790261assigned 07/20/2011
33bProvider typePediatric Dentist
28Total paid$398K
24GClaims17,723
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#59 of 140
Median peer was paid$234K
This provider vs. median1.7×
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 | 2,310 | $60K | |
| 2019 | 2,391 | $61K | |
| 2020 | 2,175 | $58K | |
| 2021 | 2,733 | $75K | |
| 2022 | 2,999 | $91K | |
| 2023 | 3,117 | $54K | |
| 2024incomplete | 1,998 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 3,636 | 3,569 | $103K |
| D1208 | Topical application of fluoride, excluding varnish | 22% | 5,081 | 5,001 | $88K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 4,607 | 4,535 | $78K |
| D1110 | Prophylaxis - adult | 13% | 1,336 | 1,321 | $51K |
| D9920 | 8.5% | 672 | 588 | $34K | |
| D0272 | Bitewings - two radiographic images | 5.9% | 1,359 | 1,334 | $23K |
| D0274 | Bitewings - four radiographic images | 3.3% | 578 | 573 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 28 | 14 | $2K |
| D0330 | Panoramic radiographic image | <1% | 49 | 49 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 114 | 114 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 155 | 155 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 26 | 25 | $438.62 |
2 more codes
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 officialSHANNON, ANDREW (DENTIST)