Langolf, Shane

Langolf, Shane was paid $2K by Medicaid between Nov 2018 and Dec 2019, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 68% of everything it billed.

33Billing provider infoLANGOLF, SHANE
MARYSVILLE, MI 48040

33aNPI1194716670assigned 11/02/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims96

24DCodes billed3

24AFirst – last monthNov 2018 – Dec 2019

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#1,127 of 1,554

Median peer was paid$15K

This provider vs. median0.2×

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	45	$1K
2019	51	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	68%	68	68	$2K
D1120	Dental cleaning, childProphylaxis - child	20%	14	14	$480.00
D1206	Topical application of fluoride varnish	12%	14	14	$300.00

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.