Dental
Ryan a Bushman DMD & Chase D Davis DDS PLLC
Ryan a Bushman DMD & Chase D Davis DDS PLLC was paid $37K by Medicaid between Oct 2019 and May 2020, across 11 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 48% of everything it billed.
33Billing provider infoRYAN A BUSHMAN DMD & CHASE D DAVIS DDS PLLC
SPOKANE VALLEY, WA 99206
SPOKANE VALLEY, WA 99206
33aNPI1871144212assigned 09/26/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$37K
24GClaims1,409
24DCodes billed11
24AFirst – last monthOct 2019 – May 2020
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#147 of 319
Median peer was paid$22K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2019 | 343 | $2K | |
| 2020 | 1,066 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 48% | 107 | 46 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | 27% | 82 | 22 | $10K |
| D0140 | Limited oral evaluation - problem focused | 8.3% | 289 | 175 | $3K |
| D1110 | Prophylaxis - adult | 4.5% | 162 | 62 | $2K |
| D0330 | Panoramic radiographic image | 3.1% | 123 | 56 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 207 | 144 | $884.72 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.0% | 146 | 53 | $744.72 |
| D0274 | Bitewings - four radiographic images | 1.6% | 168 | 64 | $567.68 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 29 | 15 | $407.80 |
| D1999 | 1.1% | 29 | 24 | $390.00 | |
| D1206 | Topical application of fluoride varnish | 1.0% | 67 | 31 | $380.08 |
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.
From NPPES
Who's on the registration
Authorized officialPRATER, TASHA (OFFICE MANAGER)