Dental
Davis, Kenneth
Davis, Kenneth was paid $145K by Medicaid between May 2018 and Sep 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoDAVIS, KENNETH
TAYLOR, AZ 85939
TAYLOR, AZ 85939
33aNPI1730343013assigned 07/15/2008
33bProvider typeDentist
28Total paid$145K
24GClaims5,911
24DCodes billed12
24AFirst – last monthMay 2018 – Sep 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#54 of 468
Median peer was paid$686.85
This provider vs. median212×
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 | 147 | $2K | |
| 2019 | 372 | $8K | |
| 2020 | 445 | $10K | |
| 2021 | 853 | $21K | |
| 2022 | 1,167 | $26K | |
| 2023 | 1,946 | $52K | |
| 2024incomplete | 981 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 1,207 | 1,180 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 1,344 | 1,306 | $34K |
| D1206 | Topical application of fluoride varnish | 18% | 1,277 | 1,243 | $26K |
| D0272 | Bitewings - two radiographic images | 6.8% | 435 | 429 | $10K |
| D0274 | Bitewings - four radiographic images | 5.8% | 272 | 266 | $8K |
| D1110 | Prophylaxis - adult | 5.0% | 164 | 157 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 400 | 391 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 34 | 24 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 34 | 24 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 161 | 160 | $2K |
| D0601 | 0% | 525 | 506 | $0.00 | |
| D0603 | 0% | 58 | 58 | $0.00 |
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.