Dental
Shane Davidson DDS PC
Shane Davidson DDS PC was paid $5K by Medicaid between Mar 2018 and Nov 2018, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 80% of everything it billed.
33Billing provider infoSHANE DAVIDSON DDS PC
WATERFORD, MI 48327
WATERFORD, MI 48327
33aNPI1033651427assigned 11/16/2016
33bProvider typeDentist
28Total paid$5K
24GClaims203
24DCodes billed2
24AFirst – last monthMar 2018 – Nov 2018
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#698 of 1,033
Median peer was paid$15K
This provider vs. median0.3×
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 | 203 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 80% | 136 | 131 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 67 | 65 | $936.49 |
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 officialDAVIDSON, SHANE (OWNER)
Parent organizationSHANE DAVIDSON DDS PC