Dental
Shelby Pediatric Dentistry, PC
Shelby Pediatric Dentistry, PC was paid $4.28M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoSHELBY PEDIATRIC DENTISTRY, PC
PELHAM, AL 35124
PELHAM, AL 35124
33aNPI1962813188assigned 05/09/2014
33bProvider typePediatric Dentist
28Total paid$4.28M
24GClaims168,479
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#19 of 111
Median peer was paid$708K
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 2018 | 25,665 | $541K | |
| 2019 | 20,651 | $511K | |
| 2020 | 23,065 | $531K | |
| 2021 | 26,956 | $739K | |
| 2022 | 21,736 | $605K | |
| 2023 | 22,598 | $611K | |
| 2024incomplete | 27,808 | $747K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 28,854 | 27,685 | $791K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 10,051 | 4,618 | $768K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 31,276 | 30,036 | $582K |
| D1208 | Topical application of fluoride, excluding varnish | 9.9% | 30,157 | 28,986 | $426K |
| D0272 | Bitewings - two radiographic images | 7.4% | 19,133 | 18,195 | $318K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.9% | 4,836 | 3,046 | $294K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.3% | 9,992 | 9,260 | $183K |
| D0330 | Panoramic radiographic image | 3.6% | 3,267 | 3,181 | $154K |
| D1999 | 3.3% | 8,779 | 8,490 | $141K | |
| D1351 | Sealant - per tooth | 2.8% | 5,538 | 1,766 | $121K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 2,207 | 1,240 | $107K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.5% | 1,245 | 307 | $107K |
11 more codes
| D1110 | Prophylaxis - adult | 1.9% | 2,247 | $82K |
| D1206 | Topical application of fluoride varnish | 1.6% | 3,107 | $69K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 2,200 | $54K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,994 | $28K |
| D0274 | Bitewings - four radiographic images | <1% | 1,156 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 856 | $21K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 506 | $10K |
| D2335 | <1% | 23 | $2K | |
| D1510 | <1% | 19 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 23 | $160.00 |
| D9420 | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialBAXTER, RICHARD (OWNER / DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Vision Health PS | Tumwater, WA | $142K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.