Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Education | $149.00 | 1 | 55.8% |
| Food and Beverage | $118.01 | 3 | 44.2% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Peter Brasseler Holdings, LLC | $255.00 | 3 | $0 (2019) |
| Kulzer, LLC | $12.01 | 1 | $0 (2020) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2020 | $12.01 | 1 | Kulzer, LLC ($12.01) |
| 2019 | $255.00 | 3 | Peter Brasseler Holdings, LLC ($255.00) |
All Payment Transactions
4 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 01/21/2020 | Kulzer, LLC | IVORY RELEAF (Device) | Food and Beverage | Cash or cash equivalent | $12.01 | General |
| Category: DYN | ||||||
| 02/22/2019 | Peter Brasseler Holdings, LLC | Endodontic Instrumentation (Device), Endosequence Bioceramic Materials | Education | In-kind items and services | $149.00 | General |
| Category: Dentistry | ||||||
| 02/22/2019 | Peter Brasseler Holdings, LLC | Endodontic Instrumentation (Device), Endosequence Bioceramic Materials | Food and Beverage | In-kind items and services | $70.00 | General |
| Category: Dentistry | ||||||
| 01/14/2019 | Peter Brasseler Holdings, LLC | Endodontic Instrumentation (Device), Rotary Instrumentation | Food and Beverage | In-kind items and services | $36.00 | General |
| Category: Dentistry | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 9 | 464 | 616 | $182,125 | $69,707 |
| 2022 | 9 | 500 | 662 | $228,750 | $93,347 |
All Medicare Procedures & Services
18 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 21110 | Application and removal of dental fixation device | Office | 2023 | 33 | 47 | $84,600 | $32,055 | 37.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 80 | 163 | $40,750 | $14,679 | 36.0% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 77 | 77 | $26,950 | $8,888 | 33.0% |
| 76100 | X-ray of body plane | Office | 2023 | 50 | 100 | $14,000 | $7,187 | 51.3% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 24 | 29 | $5,075 | $2,027 | 39.9% |
| 72040 | X-ray of upper spine, 2-3 views | Office | 2023 | 50 | 50 | $3,000 | $1,583 | 52.8% |
| 70220 | X-ray of paranasal sinus, minimum of 3 views | Office | 2023 | 50 | 50 | $3,250 | $1,406 | 43.3% |
| 70140 | X-ray of face bones, 1-2 views | Office | 2023 | 50 | 50 | $2,500 | $1,162 | 46.5% |
| 70355 | X-ray of lower jaws, upper jaws and teeth | Office | 2023 | 50 | 50 | $2,000 | $720.50 | 36.0% |
| 21110 | Application and removal of dental fixation device | Office | 2022 | 48 | 75 | $135,000 | $53,713 | 39.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 60 | 133 | $33,250 | $13,680 | 41.1% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 81 | 82 | $28,700 | $10,084 | 35.1% |
| 76100 | X-ray of body plane | Office | 2022 | 60 | 120 | $16,800 | $8,903 | 53.0% |
| 72040 | X-ray of upper spine, 2-3 views | Office | 2022 | 60 | 60 | $3,600 | $1,919 | 53.3% |
| 70220 | X-ray of paranasal sinus, minimum of 3 views | Office | 2022 | 60 | 60 | $3,900 | $1,791 | 45.9% |
| 70140 | X-ray of face bones, 1-2 views | Office | 2022 | 60 | 60 | $3,000 | $1,487 | 49.6% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 11 | 12 | $2,100 | $886.98 | 42.2% |
| 70355 | X-ray of lower jaws, upper jaws and teeth | Office | 2022 | 60 | 60 | $2,400 | $883.80 | 36.8% |
About Dr. Shanna Kim, DDS
Dr. Shanna Kim, DDS is a Orofacial Pain healthcare provider based in Sparks, Nevada. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 01/14/2011. The National Provider Identifier (NPI) number assigned to this provider is 1710282272.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Shanna Kim, DDS has received a total of $267.01 in payments from pharmaceutical and medical device companies, with $12.01 received in 2020. These payments were reported across 4 transactions from 2 companies. The most common payment nature is "Education" ($149.00).
As a Medicare-enrolled provider, Kim has provided services to 964 Medicare beneficiaries, totaling 1,278 services with total Medicare billing of $163,054. Data is available for 2 years (2022–2023), covering 18 distinct procedure/service records.
Practice Information
- Specialty Orofacial Pain
- Location Sparks, NV
- Active Since 01/14/2011
- Last Updated 11/28/2024
- Taxonomy Code 1223X2210X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1710282272
Products in Payments
- Endodontic Instrumentation (Device) $255.00
- IVORY RELEAF (Device) $12.01
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.