Davidson, Devin

Davidson, Devin was paid $71K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 47% of everything it billed.

33Billing provider infoDAVIDSON, DEVIN
WEST VALLEY CITY, UT 84119

33aNPI1861755571assigned 06/18/2012

33bProvider typeDentist

28Total paid$71K

24GClaims2,395

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in Utah

Rank by total paid#52 of 136

Median peer was paid$35K

This provider vs. median2.0×

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	163	$4K
2019	291	$13K
2020	209	$4K
2021	513	$17K
2022	806	$26K
2023	234	$4K
2024incomplete	179	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	47%	598	565	$33K
D0150	Comprehensive oral evaluation - new or established patient	37%	205	196	$26K
D0220	Intraoral - periapical first radiographic image	8.2%	1,095	1,040	$6K
D9211		3.2%	72	66	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.8%	12	12	$1K
D2150	Silver amalgam - two surfaces, primary or permanent	1.5%	29	14	$1K
D0210	Intraoral - complete series of radiographic images	1.2%	99	93	$879.16
D0330	Panoramic radiographic image	<1%	12	12	$228.22
D0230	Intraoral - periapical each additional radiographic image	<1%	186	148	$150.72
D1110	Prophylaxis - adult	<1%	63	63	$49.67
D1206	Topical application of fluoride varnish	<1%	24	24	$21.44

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.