Davila, Luis

Davila, Luis was paid $124K by Medicaid between Jan 2018 and Aug 2023, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 35% of everything it billed.

33Billing provider infoDAVILA, LUIS
OGDEN, UT 84401

33aNPI1740406842assigned 04/17/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$124K

24GClaims3,546

24DCodes billed8

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#50 of 225

Median peer was paid$21K

This provider vs. median5.8×

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	405	$22K
2019	952	$35K
2020	554	$16K
2021	947	$25K
2022	530	$20K
2023	158	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	35%	300	294	$43K
D0140	Limited oral evaluation - problem focused	27%	279	262	$34K
D0220	Intraoral - periapical first radiographic image	21%	1,032	976	$26K
D7140	Extraction, erupted tooth or exposed root	12%	460	217	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.3%	27	26	$3K
D0230	Intraoral - periapical each additional radiographic image	1.0%	1,301	371	$1K
D0272	Bitewings - two radiographic images	<1%	105	102	$877.90
D1110	Prophylaxis - adult	<1%	42	39	$409.53

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.