Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DAVIS DENTAL PARTNERSHIP

NPI: 1679671051 · JONESBORO, AR 72401 · General Practice Dentistry · NPI assigned 09/20/2006

$8K
Total Medicaid Paid
350
Total Claims
272
Beneficiaries
7
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDAVIS, CRAIG (OWNER)
NPI Enumeration Date09/20/2006

Related Entities

Other providers sharing the same authorized official: DAVIS, CRAIG

ProviderCityStateTotal Paid
MOBILE CR IMAGING, LLC GEORGETOWN TX $264K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 66 $1K
2024 284 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 108 92 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 23 13 $2K
D1208 Topical application of fluoride, excluding varnish 89 75 $2K
D0272 Bitewings - two radiographic images 67 54 $1K
D1110 Prophylaxis - adult 25 12 $581.40
D0220 Intraoral - periapical first radiographic image 14 13 $234.00
D0230 Intraoral - periapical each additional radiographic image 24 13 $222.00