Michael G Shane DDS PC

Michael G Shane DDS PC was paid $9K by Medicaid between Jan 2018 and May 2018, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.

33Billing provider infoMICHAEL G SHANE DDS PC
LANDER, WY 82520

33aNPI1891871471assigned 10/27/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$9K

24GClaims272

24DCodes billed5

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other General Practice Dentistry providers in Wyoming

Rank by total paid#30 of 64

Median peer was paid$6K

This provider vs. median1.4×

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
2018	272	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	77	77	$2K
D1206	Topical application of fluoride varnish	25%	77	77	$2K
D1120	Dental cleaning, childProphylaxis - child	25%	67	66	$2K
D1110	Prophylaxis - adult	21%	39	39	$2K
D0220	Intraoral - periapical first radiographic image	2.0%	12	12	$180.00

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.

From NPPES

Who's on the registration

Authorized officialSHANE, MICHAEL (PRESIDENT)