Dental
Lewis, Krystal
Lewis, Krystal was paid $252K by Medicaid between Oct 2022 and Dec 2024, across 17 billing codes. Its largest line is D3330, Endodontic therapy, molar tooth (excluding final restoration) — 49% of everything it billed.
33Billing provider infoLEWIS, KRYSTAL
DICKSON, TN 37055
DICKSON, TN 37055
33aNPI1033369848assigned 09/29/2008
33bProvider typeDentist
28Total paid$252K
24GClaims8,406
24DCodes billed17
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#99 of 242
Median peer was paid$164K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2022 | 413 | $2K | |
| 2023 | 6,745 | $164K | |
| 2024incomplete | 1,248 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 49% | 391 | 186 | $124K |
| D3320 | 12% | 129 | 52 | $31K | |
| D0330 | Panoramic radiographic image | 7.3% | 987 | 531 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.9% | 393 | 139 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.6% | 191 | 77 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 667 | 379 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 1,731 | 911 | $9K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 721 | 395 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 292 | 141 | $4K |
| D2950 | 1.5% | 339 | 134 | $4K | |
| D0274 | Bitewings - four radiographic images | 1.4% | 460 | 258 | $4K |
| D1110 | Prophylaxis - adult | 1.3% | 104 | 77 | $3K |
5 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 1,796 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 144 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 35 | $932.68 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $700.04 |
| D0120 | Dental checkup, returning patient | <1% | 14 | $339.43 |
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.