Dental
Davisson, Sasha
Davisson, Sasha was paid $40K by Medicaid between Jan 2018 and Jan 2019, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoDAVISSON, SASHA
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
33aNPI1730590944assigned 05/12/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$40K
24GClaims1,891
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#438 of 870
Median peer was paid$40K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 1,831 | $39K | |
| 2019 | 60 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 240 | 235 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 311 | 298 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 78 | 54 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.8% | 79 | 56 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 7.2% | 55 | 49 | $3K |
| D0274 | Bitewings - four radiographic images | 5.0% | 117 | 114 | $2K |
| D1206 | Topical application of fluoride varnish | 4.5% | 132 | 130 | $2K |
| D0140 | Limited oral evaluation - problem focused | 4.4% | 82 | 79 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 94 | 90 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 289 | 152 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 75 | 74 | $1K |
| D1351 | Sealant - per tooth | 2.5% | 50 | 14 | $1K |
5 more codes
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.