Dental
Dawisha, Davren
Dawisha, Davren was paid $5K by Medicaid between Mar 2023 and Jun 2023, across 3 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 61% of everything it billed.
33Billing provider infoDAWISHA, DAVREN
HAZEL PARK, MI 48030
HAZEL PARK, MI 48030
33aNPI1588395495assigned 06/21/2022
33bProvider typeDentist
28Total paid$5K
24GClaims159
24DCodes billed3
24AFirst – last monthMar 2023 – Jun 2023
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#686 of 1,033
Median peer was paid$15K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 159 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 61% | 67 | 66 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 25% | 77 | 75 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 15 | 15 | $718.56 |
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.