Dental
Shannon, Andrew
Shannon, Andrew was paid $241.80 by Medicaid between Aug 2021 and Aug 2021, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoSHANNON, ANDREW
VIENNA, VA 22180
VIENNA, VA 22180
33aNPI1982825097assigned 05/02/2007
33bProvider typePediatric Dentist
28Total paid$241.80
24GClaims12
24DCodes billed1
24AFirst – last monthAug 2021 – Aug 2021
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#128 of 140
Median peer was paid$234K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 12 | $241.80 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 12 | 12 | $241.80 |
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.