Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GERALD D DAVIS DDS INC PC

NPI: 1164500328 · DUNCAN, OK 73533 · General Practice Dentistry · NPI assigned 11/02/2006

$6K
Total Medicaid Paid
229
Total Claims
229
Beneficiaries
3
Codes Billed
2021-10
First Month
2024-01
Last Month

Provider Details

Authorized OfficialDAVIS, GLENDA (OFFICE MANAGER)
NPI Enumeration Date11/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 40 $845.07
2022 113 $3K
2023 63 $2K
2024 13 $277.42

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 165 165 $4K
D1110 Prophylaxis - adult 36 36 $2K
D1208 Topical application of fluoride, excluding varnish 28 28 $423.72