Clinic
Davis Family Dental, LLC
Davis Family Dental, LLC was paid $10K by Medicaid between Jan 2018 and Mar 2019, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 44% of everything it billed.
33Billing provider infoDAVIS FAMILY DENTAL, LLC
COZAD, NE 69130
COZAD, NE 69130
33aNPI1437296225assigned 01/31/2007
33bProvider typeDental Clinic/Center
28Total paid$10K
24GClaims445
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Dental Clinic/Center providers in Nebraska
Rank by total paid#29 of 41
Median peer was paid$25K
This provider vs. median0.4×
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 | 322 | $7K | |
| 2019 | 123 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 44% | 197 | 197 | $4K |
| D1206 | Topical application of fluoride varnish | 39% | 192 | 192 | $4K |
| D1110 | Prophylaxis - adult | 8.7% | 27 | 27 | $858.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 7.7% | 29 | 29 | $754.00 |
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, TIMOTHY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Safe@home LLC | Eau Claire, WI | $151K |
| Alpha Diagnostics, P.C. | Santa Monica, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.