Davis, Melissa
Davis, Melissa was paid $18K by Medicaid between Jul 2020 and May 2022, across 12 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 14% of everything it billed.
33Billing provider infoDAVIS, MELISSA
KENOSHA, WI 53143
KENOSHA, WI 53143
33aNPI1033649850assigned 06/14/2017
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$18K
24GClaims1,788
24DCodes billed12
24AFirst – last monthJul 2020 – May 2022
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Wisconsin
Rank by total paid#14 of 72
Median peer was paid$1K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2020 | 731 | $8K | |
| 2021 | 1,026 | $10K | |
| 2022 | 31 | $294.12 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 14% | 378 | 340 | $3K |
| D0274 | Bitewings - four radiographic images | 13% | 168 | 148 | $2K |
| D1206 | Topical application of fluoride varnish | 12% | 195 | 180 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 111 | 100 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.3% | 495 | 247 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 110 | 101 | $2K |
| D0140 | Limited oral evaluation - problem focused | 7.6% | 92 | 86 | $1K |
| D0330 | Panoramic radiographic image | 7.5% | 90 | 82 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 69 | 64 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.8% | 20 | 12 | $867.07 |
| D1110 | Prophylaxis - adult | 3.6% | 30 | 29 | $645.88 |
| D0272 | Bitewings - two radiographic images | 1.8% | 30 | 26 | $333.97 |
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.