Dental
Davenport, Steven
Davenport, Steven was paid $812K by Medicaid between Jan 2018 and Nov 2019, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoDAVENPORT, STEVEN
JACKSON, MI 49203
JACKSON, MI 49203
33aNPI1114045515assigned 03/26/2007
33bProvider typePediatric Dentist
28Total paid$812K
24GClaims14,192
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#62 of 153
Median peer was paid$464K
This provider vs. median1.7×
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 | 7,821 | $466K | |
| 2019 | 6,371 | $346K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 1,387 | 652 | $170K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 648 | 337 | $124K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,295 | 2,293 | $94K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 2,409 | 2,407 | $80K |
| D1206 | Topical application of fluoride varnish | 8.3% | 2,434 | 2,431 | $67K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 7.4% | 483 | 266 | $60K |
| D7140 | Extraction, erupted tooth or exposed root | 6.0% | 571 | 304 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.5% | 478 | 292 | $45K |
| D0272 | Bitewings - two radiographic images | 4.1% | 1,313 | 1,310 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 425 | 425 | $26K |
| D9248 | 1.9% | 265 | 264 | $15K | |
| D0240 | 1.3% | 493 | 455 | $10K |
9 more codes
| D1110 | Prophylaxis - adult | <1% | 147 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 406 | $7K |
| D2330 | <1% | 85 | $7K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 33 | $5K |
| D1351 | Sealant - per tooth | <1% | 130 | $4K |
| D2332 | <1% | 16 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 137 | $2K |
| D0330 | Panoramic radiographic image | <1% | 22 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 15 | $1K |
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.