Shan, Bo
Shan, Bo was paid $22K by Medicaid between Nov 2023 and Oct 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoSHAN, BO
NEWARK, NJ 07103
NEWARK, NJ 07103
33aNPI1538806773assigned 05/18/2022
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$22K
24GClaims768
24DCodes billed10
24AFirst – last monthNov 2023 – Oct 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New Jersey
Rank by total paid#71 of 181
Median peer was paid$10K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2023 | 83 | $2K | |
| 2024incomplete | 685 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 172 | 172 | $4K |
| D1110 | Prophylaxis - adult | 18% | 88 | 88 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 85 | 85 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 134 | 134 | $3K |
| D0251 | 9.1% | 167 | 166 | $2K | |
| D1206 | Topical application of fluoride varnish | 9.0% | 66 | 66 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.8% | 15 | 12 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 16 | 12 | $880.00 |
| D0330 | Panoramic radiographic image | 2.4% | 13 | 13 | $520.00 |
| D9920 | 1.4% | 12 | 12 | $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.