SCHILMOELLER, MICHAEL
NPI: 1912997198
· LAVISTA, NE 68128
· Dentist
· NPI assigned 10/27/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
346 |
$9K |
| 2019 |
318 |
$8K |
| 2020 |
173 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
292 |
292 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
318 |
318 |
$7K |
| D1206 |
Topical application of fluoride varnish |
98 |
86 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
39 |
$858.00 |
| D1120 |
Prophylaxis - child |
27 |
27 |
$702.00 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$456.00 |
| D1999 |
|
26 |
19 |
$260.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$169.00 |