Dental
Shemo, David
Shemo, David was paid $68K by Medicaid between Oct 2020 and Nov 2021, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.
33Billing provider infoSHEMO, DAVID
WILKES BARRE, PA 18702
WILKES BARRE, PA 18702
33aNPI1437101441assigned 05/17/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$68K
24GClaims2,444
24DCodes billed11
24AFirst – last monthOct 2020 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#335 of 847
Median peer was paid$37K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2020 | 406 | $12K | |
| 2021 | 2,038 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 45% | 847 | 846 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 698 | 698 | $14K |
| D0274 | Bitewings - four radiographic images | 14% | 347 | 346 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 5.6% | 85 | 85 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 120 | 120 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.0% | 35 | 28 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 208 | 207 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 31 | 26 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 44 | 44 | $823.68 |
| D9110 | <1% | 17 | 17 | $510.00 | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 12 | 12 | $360.00 |
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.