Dental
Schmidt, Shane
Schmidt, Shane was paid $7K by Medicaid between Mar 2022 and Oct 2024, across 7 billing codes. Its largest line is D9310, — 56% of everything it billed.
33Billing provider infoSCHMIDT, SHANE
HERMISTON, OR 97838
HERMISTON, OR 97838
33aNPI1487973434assigned 05/28/2010
33bProvider typePediatric Dentist
28Total paid$7K
24GClaims319
24DCodes billed7
24AFirst – last monthMar 2022 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#96 of 109
Median peer was paid$362K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 96 | $995.00 | |
| 2023 | 50 | $2K | |
| 2024incomplete | 173 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9310 | 56% | 94 | 94 | $4K | |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 27 | 27 | $1K |
| D1206 | Topical application of fluoride varnish | 13% | 54 | 54 | $988.00 |
| D0220 | Intraoral - periapical first radiographic image | 8.9% | 39 | 38 | $661.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 12 | 12 | $336.00 |
| D0170 | 4.1% | 12 | 12 | $308.00 | |
| D1330 | 0% | 81 | 81 | $0.00 |
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.