Clinic
Dustin M. Davis, DDS, LLC
Dustin M. Davis, DDS, LLC was paid $5K by Medicaid between Jul 2021 and Jan 2024, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 44% of everything it billed.
33Billing provider infoDUSTIN M. DAVIS, DDS, LLC
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
33aNPI1518537646assigned 06/30/2021
33bProvider typeDental Clinic/Center
28Total paid$5K
24GClaims122
24DCodes billed5
24AFirst – last monthJul 2021 – Jan 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oregon
Rank by total paid#28 of 39
Median peer was paid$86K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 68 | $2K | |
| 2022 | 28 | $2K | |
| 2023 | 14 | $547.56 | |
| 2024incomplete | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 44% | 28 | 25 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 54 | 54 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 14 | 14 | $569.00 |
| D0272 | Bitewings - two radiographic images | 12% | 14 | 13 | $547.56 |
| D0603 | 0% | 12 | 12 | $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, DUSTIN (PEDIATRIC DENTIST/PRACTICE OWNER)