SCHRAMM AND SYMANCYK, PLLC
NPI: 1174533327
· WHITE RIVER JUNCTION, VT 05001
· General Practice Dentistry
· NPI assigned 08/09/2006
$291K
Total Medicaid Paid
Provider Details
| Authorized Official | SCHRAMM, RICHARD (CO OWNER GENERAL DENTIST) |
| NPI Enumeration Date | 08/09/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,890 |
$56K |
| 2019 |
1,752 |
$49K |
| 2020 |
1,121 |
$31K |
| 2021 |
1,186 |
$34K |
| 2022 |
912 |
$26K |
| 2023 |
1,285 |
$48K |
| 2024 |
977 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,884 |
1,858 |
$99K |
| D0120 |
Periodic oral evaluation - established patient |
2,707 |
2,683 |
$74K |
| D1206 |
Topical application of fluoride varnish |
2,598 |
2,570 |
$54K |
| D0274 |
Bitewings - four radiographic images |
1,003 |
988 |
$32K |
| D1120 |
Prophylaxis - child |
679 |
669 |
$21K |
| D0330 |
Panoramic radiographic image |
88 |
86 |
$5K |
| D1351 |
Sealant - per tooth |
70 |
14 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
18 |
12 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
48 |
46 |
$2K |
| D9987 |
|
13 |
13 |
$0.00 |
| D1330 |
|
15 |
15 |
$0.00 |