DR. SHAUN M. LEE DDS
NPI 1043590482
Dentist - Oral and Maxillofacial Surgery in Chico, CA

NPI Status: Active since August 17, 2011

Contact Information

1430 EAST AVE # 5
CHICO, CA
ZIP 95926
Phone: (530) 965-5707
Fax: (530) 965-5723

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  • Individual
  • Male
  • Dentist
  • Oral and Maxillofacial Surgery
  • Accepts Insurance
  • PECOS Enrolled

About SHAUN LEE

This page provides the complete NPI Profile along with additional information for Shaun Lee, a provider established in Chico, California with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1043590482 assigned on August 2011. The practitioner's primary taxonomy code is 1223S0112X with license number 60610 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1043590482
Provider Name
DR. SHAUN M. LEE DDS
Gender
Male
Entity Type
Individual
Location Address
1430 EAST AVE # 5 CHICO, CA 95926
Location Phone
(530) 965-5707
Location Fax
(530) 965-5723
Mailing Address
1430 EAST AVE # 5 CHICO, CA 95926
Mailing Phone
(530) 433-9744
Mailing Fax
(530) 965-5723
Is Sole Proprietor?
Yes
Enumeration Date
08-17-2011
Last Update Date
11-17-2020
Code Navigator

A dentist like Shaun Lee is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
60610
License State
CA
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

DD3544 (NM)
2122300000XDental Providers

Dentist

DDS60610 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - Basic - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PENDINGMEDICAID (05)NM 

Medicare Participation & PECOS Enrollment Status

Shaun Lee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

3d radiographic procedure with computerized image postprocessing

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

This service was performed 27 times for 25 patients

Ct scan of face without contrast

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

This service was performed 29 times for 27 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 16 times for 16 patients

Incision and repair of bony defect of cheek bone with repositioning of bony segment

This procedure involves making a cut to access and repair a defect in your cheek bone. The bone segment may be moved to a better position for healing. It's a common method to fix bone issues and promote proper healing.

This service was performed 15 times for 14 patients

Incision or partial removal of lower jaw bone

This procedure involves making a cut or partially removing the lower jaw bone. It's often necessary to treat conditions like tumors or severe jaw misalignment. The goal is to improve your oral health or facial structure. Expect a recovery period post-surgery.

This service was performed 12 times for 12 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 20 times for 20 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

This service was performed 48 times for 27 patients

Removal of face bone

Removal of a facial bone is a surgical procedure aimed at treating conditions like tumors or fractures. It involves making incisions to access the affected bone, then carefully removing it. This procedure requires general anesthesia and may result in temporary facial swelling or numbness.

This service was performed 13 times for 11 patients

Removal of growth of mouth with simple repair

This procedure involves the surgical removal of an abnormal growth in the mouth. After the growth is removed, a simple repair is done to heal the area. This can include stitches or other methods to close the wound, promoting quick and effective healing.

This service was performed 31 times for 21 patients

Removal of lower jaw bone

The removal of the lower jaw bone, or mandibulectomy, is a surgical procedure performed to treat conditions like oral cancer or severe trauma. It involves removing part or all of the lower jaw to prevent disease spread or repair damage. Post-surgery, reconstructive measures may be taken for functionality and appearance.

This service was performed 17 times for 13 patients

Repair of lower jaw bone with bone graft

This procedure involves the use of bone grafts to repair defects or damages in your lower jaw bone. A bone graft is a piece of bone taken from another part of your body or a special bone material. It helps stimulate new bone growth and provide structural stability.

This service was performed 21 times for 17 patients

Repair of nasal or cheek bone with bone graft

This procedure involves fixing damaged nasal or cheek bones using a bone graft. A bone graft is a piece of healthy bone taken from another area of your body, or a special bone-like material. It's used to help your damaged bone heal, restore its original shape, or improve its function.

This service was performed 21 times for 17 patients

Simple drainage of abscess, cyst, or blood accumulation of mouth

This procedure involves the removal of fluid or pus from an abscess, cyst, or blood accumulation in the mouth. It's done by making a small incision, then gently draining the contents. This helps alleviate pain and promotes healing. It's a common, safe procedure.

This service was performed 25 times for 15 patients

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less

This is a procedure to fix a surface wound on the face, ears, eyelids, nose, lips, or mouth. It involves cleaning the wound and stitching it up if it's 2.5 cm or less in length. The aim is to prevent infection and promote healing.

This service was performed 36 times for 27 patients

X-ray of face bones, minimum of 3 views

An X-ray of face bones, minimum of 3 views, is a diagnostic procedure where images of your facial bones are taken from at least three different angles. This helps in detecting fractures, infections, or other abnormalities in the facial region. It's a quick, painless process.

This service was performed 17 times for 12 patients

X-ray of lower jaw, minimum of 4 views

An X-ray of the lower jaw, with a minimum of 4 views, is a non-invasive imaging procedure. It helps to view the structure of your jawbone and teeth from various angles. This aids in diagnosing conditions like fractures, infections, or abnormalities effectively.

This service was performed 18 times for 16 patients

X-ray of teeth, 1 view

An X-ray of teeth, 1 view, is a quick, painless procedure that helps dental professionals visualize the structure of your teeth and jaw. It uses a small amount of radiation to capture images, which can reveal cavities, infections, and other dental issues not visible to the naked eye.

This service was performed 25 times for 22 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 95926 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.32
  • Minimum New Patient Price $58.87
  • Maximum New Patient Price $176.6
  • Average New Patient Copayment $22.58
  • Minimum New Patient Copayment $14.71
  • Maximum New Patient Copayment $44.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $73.16
  • Minimum Established Patient Price $19.28
  • Maximum Established Patient Price $144.6
  • Average Established Patient Copayment $18.29
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.15

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043590482, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 0 + 9 + 0 + 4 + 1 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1043590482.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
1430 EAST AVE # 5
CHICO, CA 95926

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043590482, enumerated as an "individual" on August 17, 2011.

The provider is located at 1430 EAST AVE # 5 CHICO, CA 95926 and the phone number is (530) 965-5707.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.