Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › FORT WAYNE › JEFFREY J. SHAMBAUGH DMD PC

JEFFREY J. SHAMBAUGH DMD PC

NPI: 1568838225 · FORT WAYNE, IN 46815 · General Practice Dentistry · NPI assigned 08/18/2015

$95K
Total Medicaid Paid
3,906
Total Claims
3,458
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHAMBAUGH, JEFFREY (DENTIST/OWNER)
NPI Enumeration Date08/18/2015

Related Entities

Other providers sharing the same authorized official: SHAMBAUGH, JEFFREY

ProviderCityStateTotal Paid
BUTLER DENTAL GROUP, LLC BUTLER IN $87K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 349 $2K
2019 295 $6K
2020 413 $9K
2021 787 $21K
2022 848 $20K
2023 844 $24K
2024 370 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,150 1,035 $45K
D0120 Periodic oral evaluation - established patient 1,804 1,596 $33K
D1208 Topical application of fluoride, excluding varnish 633 550 $9K
D0274 Bitewings - four radiographic images 166 155 $5K
D1120 Prophylaxis - child 153 122 $3K