SHAWNEE DENTISTRY AND BRACES
NPI: 1316432438
· SHAWNEE, OK 74804
· 261QD0000X
$874K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$203.14 |
| 2019 |
1,364 |
$31K |
| 2020 |
1,515 |
$45K |
| 2021 |
6,806 |
$230K |
| 2022 |
6,776 |
$185K |
| 2023 |
5,797 |
$151K |
| 2024 |
7,252 |
$230K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,966 |
1,069 |
$195K |
| D1120 |
|
2,855 |
2,787 |
$83K |
| D2393 |
|
517 |
312 |
$67K |
| D0120 |
|
3,195 |
3,119 |
$63K |
| D1206 |
|
3,948 |
3,855 |
$63K |
| D1110 |
|
1,320 |
1,303 |
$54K |
| D0330 |
|
1,028 |
1,020 |
$47K |
| D0220 |
|
3,185 |
3,078 |
$46K |
| D9230 |
|
1,518 |
1,326 |
$39K |
| D0150 |
|
1,322 |
1,303 |
$38K |
| D0140 |
|
1,164 |
1,112 |
$33K |
| D0274 |
|
1,074 |
1,058 |
$30K |
| D0230 |
|
3,905 |
1,687 |
$28K |
| D2391 |
|
404 |
258 |
$23K |
| D7210 |
|
142 |
41 |
$17K |
| D0272 |
|
795 |
790 |
$14K |
| D1320 |
|
431 |
425 |
$13K |
| D7140 |
|
88 |
41 |
$6K |
| D0350 |
|
197 |
197 |
$6K |
| D1208 |
|
314 |
314 |
$4K |
| D1351 |
|
156 |
45 |
$4K |