Davis, John

Davis, John was paid $5K by Medicaid between Feb 2018 and Jun 2018, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 59% of everything it billed.

33Billing provider infoDAVIS, JOHN
NUTTER FORT, WV 26301

33aNPI1962592386assigned 10/14/2006

33bProvider typeDentist

28Total paid$5K

24GClaims177

24DCodes billed4

24AFirst – last monthFeb 2018 – Jun 2018

Compared with peers

Next to other Dentist providers in West Virginia

Rank by total paid#86 of 112

Median peer was paid$60K

This provider vs. median0.1×

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	177	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	59%	76	76	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	74	74	$1K
D0150	Comprehensive oral evaluation - new or established patient	9.1%	15	15	$415.05
D1208	Topical application of fluoride, excluding varnish	4.1%	12	12	$189.00

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.