Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DAVENPORT DENTAL, LLC

NPI: 1407243173 · LITTLE ROCK, AR 72205 · General Practice Dentistry · NPI assigned 04/21/2015

$2K
Total Medicaid Paid
86
Total Claims
77
Beneficiary Records
2
Codes Billed
2021-11
First Month
2024-04
Last Month

Provider Details

Authorized OfficialDAVENPORT, JAMES (DENTIST/OWNER)
NPI Enumeration Date04/21/2015

Related Entities

Other providers sharing the same authorized official: DAVENPORT, JAMES

ProviderCityStateTotal Paid
JAMES LEE DAVENPORT ELIZABETHTON TN $55K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $292.60
2023 37 $904.40
2024 37 $858.70

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 70 65 $2K
D1206 Topical application of fluoride varnish 16 12 $309.30