Jordan, Shawn

Jordan, Shawn was paid $5K by Medicaid between Nov 2018 and Jun 2021, across 2 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 75% of everything it billed.

33Billing provider infoJORDAN, SHAWN
TONAWANDA, NY 14150

33aNPI1386809333assigned 07/18/2008

33bProvider typeEndodontist

28Total paid$5K

24GClaims155

24DCodes billed2

24AFirst – last monthNov 2018 – Jun 2021

Compared with peers

Next to other Endodontist providers in New York

Rank by total paid#30 of 44

Median peer was paid$21K

This provider vs. median0.2×

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	31	$962.80
2019	74	$2K
2021	50	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	75%	68	68	$3K
D0220	Intraoral - periapical first radiographic image	25%	87	86	$1K

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.