Dental
Davis, Jessica
Davis, Jessica was paid $349.18 by Medicaid between Apr 2019 and Oct 2019, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoDAVIS, JESSICA
RIPON, WI 54971
RIPON, WI 54971
33aNPI1619060795assigned 10/02/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$349.18
24GClaims25
24DCodes billed1
24AFirst – last monthApr 2019 – Oct 2019
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#184 of 208
Median peer was paid$26K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 25 | $349.18 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 25 | 25 | $349.18 |
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.