Randolph, Charles

Randolph, Charles was paid $19K by Medicaid between Mar 2019 and Dec 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.

33Billing provider infoRANDOLPH, CHARLES
MAMARONECK, NY 10543

33aNPI1164589107assigned 01/02/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$19K

24GClaims623

24DCodes billed8

24AFirst – last monthMar 2019 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,409 of 2,184

Median peer was paid$54K

This provider vs. median0.4×

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	462	$13K
2020	12	$193.00
2022	109	$4K
2024incomplete	40	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	47%	191	191	$9K
D0230	Intraoral - periapical each additional radiographic image	14%	168	160	$3K
D0274	Bitewings - four radiographic images	14%	114	114	$3K
D0210	Intraoral - complete series of radiographic images	7.2%	29	29	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.6%	48	48	$1K
D0150	Comprehensive oral evaluation - new or established patient	6.3%	42	42	$1K
D1120	Dental cleaning, childProphylaxis - child	2.9%	13	13	$559.00
D0220	Intraoral - periapical first radiographic image	2.0%	18	18	$378.00

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.