ANDREA L DAVIS DDS PC
NPI: 1427327725
· DIBERVILLE, MS 39540
· General Practice Dentistry
· NPI assigned 12/16/2011
Provider Details
| Authorized Official | DAVIS, ANDREA (DENTIST/OWNER) |
| NPI Enumeration Date | 12/16/2011 |
Related Entities
Other providers sharing the same authorized official: DAVIS, ANDREA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,696 |
$1K |
| 2019 |
2,826 |
$3K |
| 2020 |
1,258 |
$0.00 |
| 2021 |
501 |
$4K |
| 2022 |
1,303 |
$25K |
| 2023 |
1,272 |
$23K |
| 2024 |
760 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
2,212 |
1,118 |
$19K |
| D0274 |
Bitewings - four radiographic images |
2,659 |
1,296 |
$14K |
| D0140 |
Limited oral evaluation - problem focused |
1,268 |
456 |
$12K |
| D0330 |
Panoramic radiographic image |
907 |
488 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,949 |
912 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
751 |
470 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
377 |
141 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,402 |
459 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
976 |
261 |
$1K |
| D1999 |
|
45 |
23 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
70 |
18 |
$0.00 |