SCHMIDT, SHANE
NPI: 1487973434
· HERMISTON, OR 97838
· Pediatric Dentist
· NPI assigned 05/28/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
96 |
$995.00 |
| 2023 |
50 |
$2K |
| 2024 |
173 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9310 |
|
94 |
94 |
$4K |
| D1120 |
Prophylaxis - child |
27 |
27 |
$1K |
| D1206 |
Topical application of fluoride varnish |
54 |
54 |
$988.00 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
38 |
$661.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$336.00 |
| D0170 |
|
12 |
12 |
$308.00 |
| D1330 |
|
81 |
81 |
$0.00 |