Dental
Davis, Leo
Davis, Leo was paid $884.92 by Medicaid between Aug 2023 and Oct 2023, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoDAVIS, LEO
LANCASTER, TX 75146
LANCASTER, TX 75146
33aNPI1851602882assigned 06/24/2010
33bProvider typeDentist
28Total paid$884.92
24GClaims86
24DCodes billed5
24AFirst – last monthAug 2023 – Oct 2023
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,447 of 1,678
Median peer was paid$35K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 86 | $884.92 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 12 | 12 | $343.35 |
| D1208 | Topical application of fluoride, excluding varnish | 22% | 13 | 13 | $191.10 |
| D0220 | Intraoral - periapical first radiographic image | 21% | 15 | 15 | $189.84 |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 14 | 14 | $160.63 |
| D0603 | 0% | 32 | 32 | $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.