Davitt-Webster, Jesaka

Davitt-Webster, Jesaka was paid $5K by Medicaid between Aug 2018 and Oct 2018, across 6 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.

33Billing provider infoDAVITT-WEBSTER, JESAKA
YPSILANTI, MI 48197

33aNPI1326539198assigned 05/28/2018

33bProvider typeDentist

28Total paid$5K

24GClaims134

24DCodes billed6

24AFirst – last monthAug 2018 – Oct 2018

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#692 of 1,033

Median peer was paid$15K

This provider vs. median0.3×

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	134	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	30%	23	12	$1K
D1110	Prophylaxis - adult	29%	36	36	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	32	32	$795.20
D0210	Intraoral - complete series of radiographic images	13%	14	12	$643.35
D0150	Comprehensive oral evaluation - new or established patient	7.5%	14	12	$366.90
D0220	Intraoral - periapical first radiographic image	3.8%	15	15	$187.43

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.