Dental
Lewis, David
Lewis, David was paid $4K by Medicaid between Feb 2018 and Apr 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 68% of everything it billed.
33Billing provider infoLEWIS, DAVID
MERIDIAN, ID 83642
MERIDIAN, ID 83642
33aNPI1124199237assigned 11/11/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims1,342
24DCodes billed9
24AFirst – last monthFeb 2018 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#122 of 173
Median peer was paid$22K
This provider vs. median0.2×
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 | 447 | $1K | |
| 2019 | 245 | $2K | |
| 2020 | 157 | $0.00 | |
| 2021 | 235 | $1K | |
| 2022 | 161 | $0.00 | |
| 2023 | 57 | $0.00 | |
| 2024incomplete | 40 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 68% | 28 | 28 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 12 | 12 | $1K |
| D0274 | Bitewings - four radiographic images | 2.5% | 12 | 12 | $103.19 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 236 | 232 | $0.00 |
| D1999 | 0% | 27 | 27 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 200 | 200 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 398 | 398 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 417 | 417 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 12 | 12 | $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.