Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Beaver › NPI 1114077872
Dental

Davis, Robert

Davis, Robert was paid $731K by Medicaid between Jan 2018 and Mar 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.

33Billing provider infoDAVIS, ROBERT
BEAVER, PA 15009
33aNPI1114077872assigned 01/12/2007
33bProvider typePediatric Dentist
28Total paid$731K
24GClaims39,683
24DCodes billed21
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Pediatric Dentist providers in Pennsylvania

Rank by total paid#27 of 237
Median peer was paid$109K
This provider vs. median6.7×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20187,720$125K
201910,010$190K
20203,804$60K
202112,992$280K
20224,170$59K
2024incomplete987$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 20% 6,666 6,503 $149K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 7,584 7,425 $132K
D1206 Topical application of fluoride varnish 12% 5,143 5,096 $85K
D0272 Bitewings - two radiographic images 8.6% 5,386 5,272 $63K
D1110 Prophylaxis - adult 7.8% 1,699 1,629 $57K
D2930 Prefabricated stainless steel crown - primary tooth 6.5% 466 120 $47K
D1208 Topical application of fluoride, excluding varnish 5.9% 2,960 2,829 $43K
D1351 Sealant - per tooth 5.1% 1,616 436 $37K
D7140 Extraction, erupted tooth or exposed root 4.1% 503 263 $30K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.1% 699 669 $23K
D0220 Intraoral - periapical first radiographic image 2.2% 3,005 2,932 $16K
D0150 Comprehensive oral evaluation - new or established patient 2.0% 588 560 $14K
9 more codes
D0230 Intraoral - periapical each additional radiographic image 1.9% 2,668 $14K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 113 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 87 $5K
D2140 <1% 119 $5K
D1310 <1% 174 $2K
D1330 <1% 152 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 22 $1K
D0330 Panoramic radiographic image <1% 14 $680.96
D1999 0% 19 $0.00

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.