Clinic
Randi Kennedy Gray, D.D.S., PLLC
Randi Kennedy Gray, D.D.S., PLLC was paid $1.01M by Medicaid between Jul 2018 and Jan 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoRANDI KENNEDY GRAY, D.D.S., PLLC
SALLISAW, OK 74955
SALLISAW, OK 74955
33aNPI1346735594assigned 06/28/2018
33bProvider typeDental Clinic/Center
28Total paid$1.01M
24GClaims39,484
24DCodes billed20
24AFirst – last monthJul 2018 – Jan 2024
Compared with peers
Next to other Dental Clinic/Center providers in Oklahoma
Rank by total paid#17 of 112
Median peer was paid$86K
This provider vs. median12×
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 | 1,015 | $29K | |
| 2019 | 2,884 | $93K | |
| 2020 | 3,979 | $110K | |
| 2021 | 6,456 | $180K | |
| 2022 | 11,497 | $282K | |
| 2023 | 12,964 | $299K | |
| 2024incomplete | 689 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 2,325 | 1,408 | $224K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 4,090 | 4,090 | $118K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 5,006 | 5,006 | $99K |
| D1110 | Prophylaxis - adult | 9.0% | 2,134 | 2,134 | $91K |
| D0330 | Panoramic radiographic image | 6.6% | 1,438 | 1,438 | $67K |
| D1208 | Topical application of fluoride, excluding varnish | 5.4% | 3,741 | 3,741 | $55K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.3% | 2,100 | 1,946 | $53K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 3,462 | 3,431 | $51K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.0% | 6,833 | 2,435 | $51K |
| D0274 | Bitewings - four radiographic images | 4.4% | 1,578 | 1,578 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 1,155 | 1,155 | $33K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 448 | 307 | $26K |
8 more codes
| D0272 | Bitewings - two radiographic images | 2.5% | 1,476 | $26K |
| D1206 | Topical application of fluoride varnish | 2.4% | 1,450 | $24K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 516 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 102 | $14K |
| D0602 | 1.1% | 1,184 | $11K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 46 | $6K |
| D1351 | Sealant - per tooth | <1% | 208 | $5K |
| D0603 | <1% | 192 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialGRAY, RANDI (DENTIST)