Dental
Davis, Keisha
Davis, Keisha was paid $115K by Medicaid between Feb 2018 and Nov 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoDAVIS, KEISHA
HOLLY SPRINGS, NC 27540
HOLLY SPRINGS, NC 27540
33aNPI1902939978assigned 03/13/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$115K
24GClaims5,421
24DCodes billed11
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#384 of 756
Median peer was paid$121K
This provider vs. median1.0×
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 | 1,030 | $17K | |
| 2019 | 646 | $12K | |
| 2020 | 512 | $12K | |
| 2021 | 690 | $15K | |
| 2022 | 609 | $14K | |
| 2023 | 927 | $24K | |
| 2024incomplete | 1,007 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,165 | 1,003 | $26K |
| D1110 | Prophylaxis - adult | 21% | 701 | 640 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 1,245 | 1,051 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.4% | 940 | 613 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 90 | 52 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 7.4% | 589 | 510 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 176 | 156 | $7K |
| D0330 | Panoramic radiographic image | 4.9% | 108 | 94 | $6K |
| D0274 | Bitewings - four radiographic images | 4.0% | 161 | 141 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.5% | 183 | 152 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 63 | 57 | $956.46 |
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.