Davidson, Terry

Davidson, Terry was paid $67K by Medicaid between Jan 2018 and Nov 2021, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoDAVIDSON, TERRY
NEWTON, KS 67114

33aNPI1326143496assigned 09/14/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$67K

24GClaims2,674

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Kansas

Rank by total paid#85 of 203

Median peer was paid$40K

This provider vs. median1.7×

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	215	$5K
2019	849	$21K
2020	733	$18K
2021	877	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	30%	492	487	$20K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	940	927	$19K
D1208	Topical application of fluoride, excluding varnish	16%	635	626	$11K
D1351	Sealant - per tooth	16%	420	57	$11K
D1120	Dental cleaning, childProphylaxis - child	4.0%	101	97	$3K
D0274	Bitewings - four radiographic images	3.3%	74	72	$2K
D0330	Panoramic radiographic image	1.0%	12	12	$694.71

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.