Davis, Susan

Davis, Susan was paid $210K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.

33Billing provider infoDAVIS, SUSAN
LAVERNE, OK 73848

33aNPI1386647600assigned 05/31/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$210K

24GClaims9,093

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Oklahoma

Rank by total paid#134 of 284

Median peer was paid$172K

This provider vs. median1.2×

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	1,403	$34K
2019	1,236	$28K
2020	1,473	$37K
2021	1,121	$26K
2022	1,221	$30K
2023	942	$22K
2024incomplete	1,697	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	2,296	2,282	$48K
D1120	Dental cleaning, childProphylaxis - child	20%	1,404	1,401	$42K
D1208	Topical application of fluoride, excluding varnish	17%	2,450	2,437	$37K
D1110	Prophylaxis - adult	16%	753	747	$34K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	6.7%	546	503	$14K
D2150	Silver amalgam - two surfaces, primary or permanent	2.8%	66	39	$6K
D0230	Intraoral - periapical each additional radiographic image	2.5%	649	145	$5K
D0330	Panoramic radiographic image	2.5%	104	96	$5K
D0274	Bitewings - four radiographic images	2.4%	171	168	$5K
D0272	Bitewings - two radiographic images	2.0%	237	237	$4K
D0220	Intraoral - periapical first radiographic image	1.2%	166	156	$3K
D0150	Comprehensive oral evaluation - new or established patient	<1%	67	67	$2K

6 more codes

D1351	Sealant - per tooth	<1%	61	$1K
D2140		<1%	21	$1K
D7140	Extraction, erupted tooth or exposed root	<1%	18	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	16	$981.84
D0601		<1%	55	$503.25
D0140	Limited oral evaluation - problem focused	<1%	13	$408.69

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.