Dental
Dawisha, Danielle
Dawisha, Danielle was paid $5K by Medicaid between Sep 2020 and Jun 2023, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 26% of everything it billed.
33Billing provider infoDAWISHA, DANIELLE
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
33aNPI1255991204assigned 06/20/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims341
24DCodes billed6
24AFirst – last monthSep 2020 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#969 of 1,554
Median peer was paid$15K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 180 | $999.85 | |
| 2023 | 161 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 26% | 50 | 50 | $1K |
| D0140 | Limited oral evaluation - problem focused | 20% | 33 | 33 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 20% | 119 | 109 | $1K |
| D0274 | Bitewings - four radiographic images | 13% | 20 | 20 | $662.94 |
| D0330 | Panoramic radiographic image | 11% | 15 | 15 | $575.76 |
| D0230 | Intraoral - periapical each additional radiographic image | 9.8% | 104 | 51 | $506.10 |
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.