Dental
Davis Dental PC
Davis Dental PC was paid $6K by Medicaid between Dec 2019 and Nov 2022, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 82% of everything it billed.
33Billing provider infoDAVIS DENTAL PC
CHEYENNE, WY 82001
CHEYENNE, WY 82001
33aNPI1952689937assigned 07/25/2011
33bProvider typeDentist
28Total paid$6K
24GClaims144
24DCodes billed3
24AFirst – last monthDec 2019 – Nov 2022
Compared with peers
Next to other Dentist providers in Wyoming
Rank by total paid#27 of 40
Median peer was paid$14K
This provider vs. median0.4×
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 | 13 | $650.00 | |
| 2021 | 13 | $585.00 | |
| 2022 | 118 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 82% | 103 | 102 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 29 | 29 | $842.40 |
| D1206 | Topical application of fluoride varnish | 3.4% | 12 | 12 | $192.00 |
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 officialDAVIS, RANDALL (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Northcrest Medical Center | Springfield, TN | $6.96M |
| Randall L Davis DMD PC | Lawrence, MA | $5.64M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.