Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Armed Forces Pacific (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Shannon Young (NPI 1801027917)

Field	Value
Entity Type	Individual
Organization	Shannon Young
Address	Usa Dental Clinic
City	Apo
State	AP (Armed Forces Pacific)
ZIP	96376
Taxonomy	General Practice Dentistry
NPI Enumerated	August 6, 2009

Payer Source	Total Paid
Medicaid	$392.6K
Medicare	$0

Key Findings

This provider effectively operates as a single‑payer Medicaid biller: there is no Medicare billing on file and lifetime Medicaid revenue is $392.6K. The absence of any Medicare activity means analyses of Medicare-facing business lines or national competitive standing are not applicable for this NPI.

Revenue is highly concentrated in a small set of codes: the precomputed top 3 codes account for 69.6% of the provider's total Medicaid revenue, led by D0120 ($189.1K, 48.2%), followed by D2392 ($51.6K, 13.1%) and D1351 ($32.4K, 8.3%). This concentration indicates that a few routine exam and restorative/sealant services drive the majority of Medicaid income.

The mix of top codes (D0120, D2392, D1351) and additional items like D2150 and D2140 suggests a general dentistry practice balancing preventive care with operative restorative work. D0120 (periodic oral evaluation) as the largest single revenue line combined with sealant billing (D1351) and child prophylaxis claims (D1120: 2.8K claims, $11.4K) points to substantial preventive and pediatric-focused activity alongside routine posterior composite restorations (D2392).

On state competitive standing, the provider is a leading performer for certain restorative and preventive procedures: D2392 ranks #1 of 5 providers in‑state (100th percentile) and D1351 ranks #1 of 4 providers in‑state (100th percentile), indicating a dominant statewide position for those services. By contrast, D0120 ranks #2 of 6 providers in‑state (80th percentile), a solid but not exclusive position for routine periodic evaluations.

Operational metrics show very high claim volumes for several low‑reimbursement imaging and preventive codes: D0220 has 3.6K claims for $7.2K revenue and D0230 has 3.4K claims for $3.4K revenue, while D0274 shows 1.5K claims for $12.1K. This pattern is consistent with a high‑throughput clinic model where many low‑paid, routine services (radiographs, screening, topical applications) are performed frequently.

A small number of relatively high‑unit‑payment items materially contribute despite low counts — for example, D9222 reports 28 claims at $547 avg paid/claim for $15.3K revenue and ranks #1 of 1 providers in‑state (no peer comparison available). These line items can meaningfully affect revenue composition even though they are low‑frequency.

Several codes show claims but $0 avg paid/claim and $0 revenue (for example D1208: 2K claims, $0 revenue; D0601: 251 claims, $0 revenue; D0602: 152 claims, $0 revenue; D0603: 143 claims, $0 revenue). The presence of multiple zero‑paid code lines alongside paid services suggests billing activity that did not generate recorded Medicaid revenue for those specific codes during the observation window.

This NPI has a long enrollment history, enumerated 2009-08-06 (~17 years ago), which provides a stable tenure context for the observed Medicaid billing patterns and state competitive standings.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	3,780	$50	$189.1K
D2392	Post 2 surface resin‑based composite	770	$70	$51.6K
D1351	Sealant - per tooth	980	$30	$32.4K
D2150	Amalgam - two surfaces, primary or permanent	440	$50	$22K
D9222	N/A	30	$550	$15.3K
D0274	N/A	1,520	$10	$12.1K
D1120	Prophylaxis–child	2,840	$1	$11.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	920	$10	$11K
D2391	Resin‑based composite – one surface, posterior	210	$50	$9.8K
D2140	Amalgam - one surface, primary or permanent	140	$70	$9.1K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Armed Forces Pacific providers billing the same CPT/HCPCS codes. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

Claims Volume vs. Armed Forces Pacific Distribution

Shannon Young — 4 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Pacific

Full comparison — all codes billed, vs. Armed Forces Pacific median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	2	10	1,660	$30	$52.3K
D1120	Prophylaxis–child	2	10	1,740	$20	$36.8K
D2392	Post 2 surface resin‑based composite	1	10	390	$60	$30.6K
D2150	Amalgam - two surfaces, primary or permanent	1	10	440	$50	$22K
D1351	Sealant - per tooth	1	10	520	$30	$16.5K
D9222	N/A	1	10	30	$550	$15.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2	10	360	$20	$13.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2	10	1,080	$10	$13.3K
D0274	N/A	2	10	710	$10	$12.9K
D2140	Amalgam - one surface, primary or permanent	1	10	140	$70	$9.1K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Shannon Young, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hillfield Pediatric & Family Dentistry Inc.	UT	General Practice Dentistry	$0	$3.1M
Leland Powell	UT	Pediatric Dentistry	$0	$2.5M
Wade Arkoudas	UT	Pediatric Dentistry	$0	$1.2M
Jennifer Brown	UT	General Practice Dentistry	$0	$802.3K
Raymond Hendrickson	UT	Dentist	$0	$675.4K

Shannon Young — Billing Profile & Reimbursement Data

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Shannon Young — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References