Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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NUTTER FORT
› DAVIS, JOHN
DAVIS, JOHN
NPI: 1962592386 · NUTTER FORT, WV 26301 ·
Dentist
· NPI assigned 10/14/2006
$5K
Total Medicaid Paid
177
Total Claims
177
Beneficiaries
4
Codes Billed
2018-02
First Month
2018-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
177
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
Prophylaxis - adult
76
76
$3K
D0120
Periodic oral evaluation - established patient
74
74
$1K
D0150
Comprehensive oral evaluation - new or established patient
15
15
$415.05
D1208
Topical application of fluoride, excluding varnish
12
12
$189.00