Dental
Davong, Andy
Davong, Andy was paid $176.40 by Medicaid between Mar 2023 and Jun 2023, across 2 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 100% of everything it billed.
33Billing provider infoDAVONG, ANDY
ROYSE CITY, TX 75189
ROYSE CITY, TX 75189
33aNPI1235443391assigned 07/31/2010
33bProvider typeDentist
28Total paid$176.40
24GClaims42
24DCodes billed2
24AFirst – last monthMar 2023 – Jun 2023
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,556 of 1,678
Median peer was paid$35K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 42 | $176.40 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 100% | 12 | 12 | $176.40 |
| D0603 | 0% | 30 | 30 | $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.