Dental
Mittelstadt, Shawna
Mittelstadt, Shawna was paid $87K by Medicaid between Sep 2018 and Mar 2020, across 6 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 30% of everything it billed.
33Billing provider infoMITTELSTADT, SHAWNA
WAUKESHA, WI 53188
WAUKESHA, WI 53188
33aNPI1447746748assigned 07/10/2018
33bProvider typeDental Hygienist
28Total paid$87K
24GClaims6,284
24DCodes billed6
24AFirst – last monthSep 2018 – Mar 2020
Compared with peers
Next to other Dental Hygienist providers in Wisconsin
Rank by total paid#41 of 141
Median peer was paid$28K
This provider vs. median3.1×
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 | 1,107 | $16K | |
| 2019 | 4,087 | $57K | |
| 2020 | 1,090 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 30% | 2,194 | 2,116 | $27K |
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 1,109 | 1,061 | $22K |
| D1351 | Sealant - per tooth | 19% | 1,127 | 367 | $17K |
| D0191 | 16% | 1,425 | 1,351 | $14K | |
| D1110 | Prophylaxis - adult | 6.6% | 227 | 210 | $6K |
| D1354 | 1.6% | 202 | 80 | $1K |
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.