Dental
Davison Family Dentistry, P.C.
Davison Family Dentistry, P.C. was paid $69K by Medicaid between Jan 2019 and Jul 2021, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoDAVISON FAMILY DENTISTRY, P.C.
DAVISON, MI 48423
DAVISON, MI 48423
33aNPI1033589734assigned 10/07/2015
33bProvider typeEndodontist
28Total paid$69K
24GClaims2,033
24DCodes billed11
24AFirst – last monthJan 2019 – Jul 2021
Compared with peers
Next to other Endodontist providers in Michigan
Rank by total paid#17 of 41
Median peer was paid$24K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2019 | 542 | $21K | |
| 2020 | 859 | $31K | |
| 2021 | 632 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 475 | 475 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 20% | 262 | 262 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 483 | 482 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 269 | 268 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.1% | 99 | 97 | $4K |
| D0274 | Bitewings - four radiographic images | 3.7% | 92 | 92 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 3.6% | 119 | 118 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 135 | 133 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 17 | 12 | $2K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 44 | 44 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 38 | 38 | $264.00 |
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 officialWILTZ, JOHN (PRESIDENT)