Dental
Dockham, David
Dockham, David was paid $4K by Medicaid between Jan 2018 and Apr 2018, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.
33Billing provider infoDOCKHAM, DAVID
STANTON, MI 48888
STANTON, MI 48888
33aNPI1659440428assigned 11/07/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims132
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,023 of 1,554
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 | |
|---|---|---|---|
| 2018 | 132 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 42% | 71 | 71 | $2K |
| D1110 | Prophylaxis - adult | 36% | 29 | 29 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 14 | 14 | $484.07 |
| D1206 | Topical application of fluoride varnish | 9.5% | 18 | 18 | $377.58 |
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.