DAVIS, SHAWN
NPI: 1518000421
· OKLAHOMA CITY, OK 73117
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 02/14/2007
$100K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
884 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
95 |
82 |
$33K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
136 |
114 |
$33K |
| D9222 |
|
148 |
124 |
$32K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
164 |
123 |
$1K |
| D7240 |
Removal of impacted tooth - completely bony |
341 |
73 |
$192.46 |