Dental
Davis, Dustin
Davis, Dustin was paid $1K by Medicaid between Feb 2022 and Mar 2022, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 61% of everything it billed.
33Billing provider infoDAVIS, DUSTIN
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
33aNPI1063787497assigned 03/19/2012
33bProvider typeDentist
28Total paid$1K
24GClaims40
24DCodes billed2
24AFirst – last monthFeb 2022 – Mar 2022
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#183 of 233
Median peer was paid$19K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 40 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 61% | 28 | 28 | $756.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 39% | 12 | 12 | $480.00 |
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.