Henderson, Shaun

Henderson, Shaun was paid $2K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.

33Billing provider infoHENDERSON, SHAUN
KIRTLAND, NM 87417

33aNPI1982133849assigned 06/05/2017

33bProvider typeDentist

28Total paid$2K

24GClaims143

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in New Mexico

Rank by total paid#161 of 179

Median peer was paid$47K

This provider vs. median0.1×

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	82	$2K
2021	12	$0.00
2022	12	$0.00
2024incomplete	37	$909.97

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	24	24	$634.82
D0274	Bitewings - four radiographic images	21%	18	18	$510.66
D0150	Comprehensive oral evaluation - new or established patient	18%	13	13	$436.54
D1206	Topical application of fluoride varnish	11%	13	13	$275.15
D1208	Topical application of fluoride, excluding varnish	9.2%	13	13	$226.98
D0220	Intraoral - periapical first radiographic image	8.9%	32	32	$218.40
D0230	Intraoral - periapical each additional radiographic image	6.4%	18	18	$156.96
D1110	Prophylaxis - adult	0%	12	12	$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.