Dental
Davidson Family Dental
Davidson Family Dental was paid $8K by Medicaid between Jan 2018 and Oct 2021, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 93% of everything it billed.
33Billing provider infoDAVIDSON FAMILY DENTAL
COEUR D ALENE, ID 83815
COEUR D ALENE, ID 83815
33aNPI1922404987assigned 11/18/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims397
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#112 of 173
Median peer was paid$22K
This provider vs. median0.3×
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 | 114 | $1K | |
| 2019 | 153 | $2K | |
| 2020 | 38 | $1K | |
| 2021 | 92 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 93% | 122 | 121 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.8% | 166 | 165 | $379.11 |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 68 | 68 | $176.15 |
| D1206 | Topical application of fluoride varnish | 0% | 29 | 29 | $0.00 |
| D9920 | 0% | 12 | 12 | $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.
From NPPES
Who's on the registration
Authorized officialDAVIDSON, KIRK (OWNER)