Physician
Southern Utah Surgical Arts
Southern Utah Surgical Arts was paid $36K by Medicaid between Mar 2018 and Apr 2018, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 51% of everything it billed.
33Billing provider infoSOUTHERN UTAH SURGICAL ARTS
ST. GEORGE, UT 84790
ST. GEORGE, UT 84790
33aNPI1962918094assigned 12/27/2017
33bProvider typeOral & Maxillofacial Surgery (D.M.D.)
28Total paid$36K
24GClaims303
24DCodes billed5
24AFirst – last monthMar 2018 – Apr 2018
Compared with peers
Next to other Oral & Maxillofacial Surgery (D.M.D.) providers in Utah
Rank by total paid#2 of 6
Median peer was paid$18K
This provider vs. median2.0×
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 | 303 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 51% | 47 | 47 | $18K |
| D0330 | Panoramic radiographic image | 32% | 36 | 36 | $11K |
| D9222 | 17% | 38 | 38 | $6K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 138 | 37 | $192.46 |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 44 | 38 | $117.00 |
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.
From NPPES
Who's on the registration
Authorized officialDAVIS, SHAWN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Texarkana Ind School District | Texarkana, TX | $1.66M |
| Prime Health Physical Therapy | Linden, NJ | $194K |
| Best Physical Therapy, INC | Linden, NJ | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.