HELMS, SHANE
NPI: 1801907365
· MOUNDSVILLE, WV 26041
· Dentist
· NPI assigned 08/31/2006
$255K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,454 |
$49K |
| 2019 |
738 |
$22K |
| 2020 |
2,020 |
$59K |
| 2021 |
1,071 |
$34K |
| 2022 |
977 |
$31K |
| 2023 |
1,022 |
$31K |
| 2024 |
943 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,584 |
2,216 |
$68K |
| D1110 |
Prophylaxis - adult |
1,306 |
1,112 |
$64K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,586 |
2,221 |
$59K |
| D1120 |
Prophylaxis - child |
1,232 |
1,098 |
$46K |
| D1351 |
Sealant - per tooth |
423 |
45 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
67 |
66 |
$4K |
| D0272 |
Bitewings - two radiographic images |
27 |
26 |
$775.00 |