Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Martinsville › NPI 1548415433
Dental

Davis, John

Davis, John was paid $1.12M by Medicaid between Jan 2018 and Aug 2022, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.

33Billing provider infoDAVIS, JOHN
MARTINSVILLE, VA 24112
33aNPI1548415433assigned 11/19/2008
33bProvider typePediatric Dentist
28Total paid$1.12M
24GClaims33,832
24DCodes billed24
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Pediatric Dentist providers in Virginia

Rank by total paid#32 of 140
Median peer was paid$234K
This provider vs. median4.8×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20182,930$90K
20196,080$190K
20207,246$233K
202111,482$384K
20226,094$224K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 14% 4,615 4,549 $154K
D1206 Topical application of fluoride varnish 11% 5,731 5,616 $118K
D7140 Extraction, erupted tooth or exposed root 10% 1,676 1,044 $113K
D2150 Silver amalgam - two surfaces, primary or permanent 9.2% 1,396 1,004 $104K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.7% 4,870 4,783 $98K
D0150 Comprehensive oral evaluation - new or established patient 7.9% 2,842 2,814 $88K
D0272 Bitewings - two radiographic images 6.1% 3,431 3,381 $68K
D1110 Prophylaxis - adult 5.5% 1,319 1,293 $62K
D1351 Sealant - per tooth 5.0% 1,725 468 $56K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 4.6% 626 507 $52K
D2930 Prefabricated stainless steel crown - primary tooth 3.1% 258 218 $35K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.1% 385 281 $35K
12 more codes
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.5% 395 $29K
D1208 Topical application of fluoride, excluding varnish 2.5% 1,359 $28K
D0140 Limited oral evaluation - problem focused 2.2% 982 $24K
D0210 Intraoral - complete series of radiographic images 1.9% 466 $22K
D9630 1.1% 616 $12K
D9920 <1% 155 $10K
D3120 <1% 191 $3K
D1354 <1% 252 $3K
D0220 Intraoral - periapical first radiographic image <1% 277 $3K
D0240 <1% 206 $2K
D0330 Panoramic radiographic image <1% 38 $2K
D0274 Bitewings - four radiographic images <1% 21 $579.60

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.