Dental
Davenport, Monica
Davenport, Monica was paid $551K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoDAVENPORT, MONICA
SHREVEPORT, LA 71107
SHREVEPORT, LA 71107
33aNPI1740224435assigned 06/15/2006
33bProvider typeDentist
28Total paid$551K
24GClaims12,322
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Louisiana
Rank by total paid#64 of 251
Median peer was paid$103K
This provider vs. median5.3×
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 | 1,030 | $51K | |
| 2019 | 1,468 | $69K | |
| 2020 | 1,779 | $84K | |
| 2021 | 428 | $19K | |
| 2022 | 541 | $23K | |
| 2023 | 1,580 | $59K | |
| 2024incomplete | 5,496 | $246K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 2,789 | 2,449 | $126K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 1,620 | 1,430 | $89K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 1,602 | 1,389 | $70K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 557 | 381 | $60K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,124 | 1,924 | $58K |
| D7140 | Extraction, erupted tooth or exposed root | 7.3% | 554 | 358 | $40K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 275 | 162 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 489 | 462 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 3.5% | 793 | 739 | $19K |
| D0274 | Bitewings - four radiographic images | 2.1% | 424 | 363 | $12K |
| D0272 | Bitewings - two radiographic images | 2.0% | 427 | 393 | $11K |
| D1351 | Sealant - per tooth | 1.1% | 201 | 73 | $6K |
5 more codes
| D1206 | Topical application of fluoride varnish | 1.0% | 190 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 31 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 19 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 166 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 61 | $2K |
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.