Davis, Angela

Davis, Angela was paid $54K by Medicaid between Feb 2018 and Mar 2022, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.

33Billing provider infoDAVIS, ANGELA
WEST MEMPHIS, AR 72301

33aNPI1003984360assigned 12/02/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$54K

24GClaims2,009

24DCodes billed9

24AFirst – last monthFeb 2018 – Mar 2022

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#171 of 401

Median peer was paid$36K

This provider vs. median1.5×

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	1,014	$27K
2019	737	$21K
2020	205	$5K
2021	25	$465.50
2022	28	$718.20

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	757	716	$19K
D1110	Prophylaxis - adult	31%	356	342	$17K
D1208	Topical application of fluoride, excluding varnish	15%	408	397	$8K
D0272	Bitewings - two radiographic images	13%	304	282	$7K
D0220	Intraoral - periapical first radiographic image	4.0%	132	127	$2K
D1120	Dental cleaning, childProphylaxis - child	<1%	13	13	$469.30
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	12	12	$300.00
D1206	Topical application of fluoride varnish	<1%	13	13	$259.35
D0230	Intraoral - periapical each additional radiographic image	<1%	14	12	$185.25

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.