Dental
Davis, Lee
Davis, Lee was paid $236K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoDAVIS, LEE
DALEVILLE, IN 47334
DALEVILLE, IN 47334
33aNPI1275756660assigned 04/11/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$236K
24GClaims8,206
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#210 of 723
Median peer was paid$60K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2018 | 831 | $3K | |
| 2019 | 756 | $19K | |
| 2020 | 785 | $22K | |
| 2021 | 1,189 | $33K | |
| 2022 | 1,561 | $49K | |
| 2023 | 1,811 | $60K | |
| 2024incomplete | 1,273 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 1,425 | 1,328 | $56K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,898 | 1,791 | $36K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 475 | 299 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 9.0% | 1,171 | 1,099 | $21K |
| D0140 | Limited oral evaluation - problem focused | 6.4% | 572 | 537 | $15K |
| D0274 | Bitewings - four radiographic images | 6.4% | 514 | 489 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.3% | 249 | 153 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 503 | 481 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 384 | 352 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 880 | 803 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 41 | 26 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 41 | 38 | $3K |
2 more codes
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.