Lambert, Mark

Lambert, Mark was paid $38K by Medicaid between Oct 2018 and Nov 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.

33Billing provider infoLAMBERT, MARK
CHARLESTON, WV 25303

33aNPI1225135387assigned 09/20/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$38K

24GClaims1,117

24DCodes billed6

24AFirst – last monthOct 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in West Virginia

Rank by total paid#102 of 193

Median peer was paid$44K

This provider vs. median0.9×

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	13	$253.00
2019	40	$859.00
2020	67	$1K
2021	85	$3K
2022	234	$8K
2023	379	$14K
2024incomplete	299	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	47%	309	298	$18K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	36%	541	500	$13K
D1208	Topical application of fluoride, excluding varnish	11%	202	190	$4K
D0274	Bitewings - four radiographic images	2.6%	24	24	$965.60
D0140	Limited oral evaluation - problem focused	2.5%	28	26	$950.00
D0220	Intraoral - periapical first radiographic image	<1%	13	12	$195.50

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.