Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › YPSILANTI › DAVITT-WEBSTER, JESAKA

DAVITT-WEBSTER, JESAKA

NPI: 1326539198 · YPSILANTI, MI 48197 · Dentist · NPI assigned 05/28/2018

$5K
Total Medicaid Paid
134
Total Claims
119
Beneficiaries
6
Codes Billed
2018-08
First Month
2018-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 23 12 $1K
D1110 Prophylaxis - adult 36 36 $1K
D0120 Periodic oral evaluation - established patient 32 32 $795.20
D0210 Intraoral - complete series of radiographic images 14 12 $643.35
D0150 Comprehensive oral evaluation - new or established patient 14 12 $366.90
D0220 Intraoral - periapical first radiographic image 15 15 $187.43