Dawisha, Vincent

Dawisha, Vincent was paid $18K by Medicaid between Oct 2018 and Oct 2019, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.

33Billing provider infoDAWISHA, VINCENT
TROY, MI 48083

33aNPI1265923544assigned 05/23/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$18K

24GClaims652

24DCodes billed8

24AFirst – last monthOct 2018 – Oct 2019

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#718 of 1,554

Median peer was paid$15K

This provider vs. median1.2×

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	390	$11K
2019	262	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	26%	119	119	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	138	138	$4K
D1206	Topical application of fluoride varnish	18%	169	169	$3K
D1110	Prophylaxis - adult	15%	54	54	$3K
D0220	Intraoral - periapical first radiographic image	6.2%	73	71	$1K
D0150	Comprehensive oral evaluation - new or established patient	6.1%	29	29	$1K
D0274	Bitewings - four radiographic images	5.3%	28	28	$963.47
D0230	Intraoral - periapical each additional radiographic image	2.0%	42	38	$352.29

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.