SHANNA KIM, DDS
Orofacial Pain Dentistry · SPARKS, NV
Individual Active Opted out of Medicare NPI 1710282272
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 63 | 280 | $48,830 | $23,753 | $16,372 |
| 2023 | 121 | 636 | $184,830 | $93,425 | $70,568 |
| 2022 | 87 | 701 | $234,601 | $121,497 | $95,151 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 76100 | X-ray of body plane | 52 | $83 | $66 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 37 | $84 | $58 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 36 | $119 | $75 |
| 72040 | X-ray of upper spine, 2-3 views | 26 | $37 | $28 |
| 70355 | X-ray of lower jaws, upper jaws and teeth | 26 | $17 | $12 |
| 70220 | X-ray of paranasal sinus, minimum of 3 views | 26 | $35 | $25 |
| 70140 | X-ray of face bones, 1-2 views | 26 | $30 | $21 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 22 | $155 | $93 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 12 | $53 | $15 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orofacial Pain Dentistry | 1223X2210X | ✓ | 7344 | NV |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Opted out of Medicare (Orofacial Pain), effective 2025-06-12 through 2027-06-12.
Other Orofacial Pain Dentistry providers in Nevada
- NPI 1437976867
- NPI 1932656659
- NPI 1790248680
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.