CAPITOL OMS PLLC
NPI: 1710501895
· WASHINGTON, DC 20036
· Dentist
· NPI assigned 06/03/2020
$1.67M
Total Medicaid Paid
Provider Details
| Authorized Official | SHIN, THOMAS (OWNER) |
| NPI Enumeration Date | 06/03/2020 |
Related Entities
Other providers sharing the same authorized official: SHIN, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
850 |
$96K |
| 2021 |
3,198 |
$392K |
| 2022 |
2,895 |
$336K |
| 2023 |
3,494 |
$438K |
| 2024 |
3,185 |
$412K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
5,827 |
2,609 |
$783K |
| D9310 |
|
3,824 |
3,761 |
$309K |
| D7250 |
|
1,259 |
556 |
$269K |
| D7240 |
Removal of impacted tooth - completely bony |
305 |
141 |
$92K |
| D0330 |
Panoramic radiographic image |
1,240 |
1,219 |
$77K |
| D7230 |
|
346 |
222 |
$74K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
473 |
120 |
$47K |
| D9222 |
|
125 |
120 |
$15K |
| D0140 |
Limited oral evaluation - problem focused |
139 |
133 |
$4K |
| D0367 |
|
16 |
12 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
68 |
65 |
$1K |