Schilmoeller, Michael

Schilmoeller, Michael was paid $21K by Medicaid between Jan 2018 and Aug 2020, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.

33Billing provider infoSCHILMOELLER, MICHAEL
LAVISTA, NE 68128

33aNPI1912997198assigned 10/27/2005

33bProvider typeDentist

28Total paid$21K

24GClaims837

24DCodes billed8

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Dentist providers in Nebraska

Rank by total paid#63 of 119

Median peer was paid$24K

This provider vs. median0.9×

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	346	$9K
2019	318	$8K
2020	173	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	46%	292	292	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	318	318	$7K
D1206	Topical application of fluoride varnish	9.2%	98	86	$2K
D0150	Comprehensive oral evaluation - new or established patient	4.1%	39	39	$858.00
D1120	Dental cleaning, childProphylaxis - child	3.4%	27	27	$702.00
D0274	Bitewings - four radiographic images	2.2%	24	24	$456.00
D1999		1.2%	26	19	$260.00
D0272	Bitewings - two radiographic images	<1%	13	13	$169.00

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.