HENRY W. DAVIS JR., DDS III PLLC
NPI: 1346628187
· LILLINGTON, NC 27546
· General Practice Dentistry
· NPI assigned 05/13/2015
$4.60M
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, HENRY (PRESIDENT) |
| NPI Enumeration Date | 05/13/2015 |
Related Entities
Other providers sharing the same authorized official: DAVIS, HENRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,210 |
$121K |
| 2019 |
15,887 |
$919K |
| 2020 |
17,039 |
$994K |
| 2021 |
15,648 |
$958K |
| 2022 |
14,526 |
$898K |
| 2023 |
10,985 |
$706K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9410 |
|
43,287 |
39,581 |
$3.36M |
| D0120 |
Periodic oral evaluation - established patient |
10,875 |
10,836 |
$294K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,346 |
5,290 |
$240K |
| D4355 |
|
2,893 |
2,889 |
$202K |
| D1110 |
Prophylaxis - adult |
4,189 |
4,171 |
$164K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,913 |
2,874 |
$149K |
| D0140 |
Limited oral evaluation - problem focused |
3,715 |
3,696 |
$135K |
| D0220 |
Intraoral - periapical first radiographic image |
3,011 |
2,976 |
$47K |
| D0210 |
Intraoral - complete series of radiographic images |
66 |
66 |
$4K |