Davidson, Alina

Davidson, Alina was paid $30K by Medicaid between Apr 2019 and Sep 2020, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 49% of everything it billed.

33Billing provider infoDAVIDSON, ALINA
PASCO, WA 99301

33aNPI1992038715assigned 09/11/2009

33bProvider typeDentist

28Total paid$30K

24GClaims812

24DCodes billed7

24AFirst – last monthApr 2019 – Sep 2020

Compared with peers

Next to other Dentist providers in Washington

Rank by total paid#171 of 335

Median peer was paid$30K

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
2019	236	$9K
2020	576	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	49%	351	350	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	156	155	$4K
D0150	Comprehensive oral evaluation - new or established patient	11%	122	122	$3K
D0210	Intraoral - complete series of radiographic images	11%	85	85	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.7%	42	26	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.8%	29	13	$1K
D0274	Bitewings - four radiographic images	2.1%	27	27	$624.00

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.