Medicaid Provider Spending

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

ANDREA L DAVIS DDS PC

NPI: 1427327725 · DIBERVILLE, MS 39540 · General Practice Dentistry · NPI assigned 12/16/2011

$78K
Total Medicaid Paid
12,616
Total Claims
5,642
Beneficiaries
11
Codes Billed
2018-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDAVIS, ANDREA (DENTIST/OWNER)
NPI Enumeration Date12/16/2011

Related Entities

Other providers sharing the same authorized official: DAVIS, ANDREA

ProviderCityStateTotal Paid
DAVIS DRUG STORE INC HIGHLAND AR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal 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