Davis, Shawn

Davis, Shawn was paid $100K by Medicaid between May 2018 and Dec 2018, across 5 billing codes. Its largest line is D0330, Panoramic radiographic image — 33% of everything it billed.

33Billing provider infoDAVIS, SHAWN
OKLAHOMA CITY, OK 73117

33aNPI1518000421assigned 02/14/2007

33bProvider typeOral & Maxillofacial Surgery (D.M.D.)

28Total paid$100K

24GClaims884

24DCodes billed5

24AFirst – last monthMay 2018 – Dec 2018

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	884	$100K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0330	Panoramic radiographic image	33%	95	82	$33K
D0150	Comprehensive oral evaluation - new or established patient	33%	136	114	$33K
D9222		32%	148	124	$32K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	1.2%	164	123	$1K
D7240	Removal of impacted tooth - completely bony	<1%	341	73	$192.46

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.