Dental
Lewis, Brock
Lewis, Brock was paid $713.07 by Medicaid between Jun 2022 and Dec 2022, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 58% of everything it billed.
33Billing provider infoLEWIS, BROCK
BLAIR, NE 68008
BLAIR, NE 68008
33aNPI1063038255assigned 06/23/2020
33bProvider typeDentist
28Total paid$713.07
24GClaims75
24DCodes billed3
24AFirst – last monthJun 2022 – Dec 2022
Compared with peers
Next to other Dentist providers in Nebraska
Rank by total paid#105 of 119
Median peer was paid$24K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 75 | $713.07 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 58% | 27 | 27 | $416.43 |
| D0150 | Comprehensive oral evaluation - new or established patient | 42% | 12 | 12 | $296.64 |
| D1999 | 0% | 36 | 28 | $0.00 |
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.