Dental
Andrea L Davis DDS PC
Andrea L Davis DDS PC was paid $78K by Medicaid between Jul 2018 and Nov 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoANDREA L DAVIS DDS PC
DIBERVILLE, MS 39540
DIBERVILLE, MS 39540
33aNPI1427327725assigned 12/16/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$78K
24GClaims12,616
24DCodes billed11
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#188 of 379
Median peer was paid$78K
This provider vs. median1.0×
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 | 4,696 | $1K | |
| 2019 | 2,826 | $3K | |
| 2020 | 1,258 | $0.00 | |
| 2021 | 501 | $4K | |
| 2022 | 1,303 | $25K | |
| 2023 | 1,272 | $23K | |
| 2024incomplete | 760 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 2,212 | 1,118 | $19K |
| D0274 | Bitewings - four radiographic images | 18% | 2,659 | 1,296 | $14K |
| D0140 | Limited oral evaluation - problem focused | 15% | 1,268 | 456 | $12K |
| D0330 | Panoramic radiographic image | 11% | 907 | 488 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,949 | 912 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 751 | 470 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 5.6% | 377 | 141 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 1,402 | 459 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 976 | 261 | $1K |
| D1999 | 0% | 45 | 23 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 70 | 18 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialDAVIS, ANDREA (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Davis Drug Store INC | Highland, AR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.