Dental
Travis, Randolph
Travis, Randolph was paid $188K by Medicaid between Jan 2018 and Dec 2019, across 13 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 31% of everything it billed.
33Billing provider infoTRAVIS, RANDOLPH
MADISONVILLE, KY 42431
MADISONVILLE, KY 42431
33aNPI1407862626assigned 07/31/2006
33bProvider typePediatric Dentist
28Total paid$188K
24GClaims5,759
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#90 of 134
Median peer was paid$467K
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 | |
|---|---|---|---|
| 2018 | 2,589 | $85K | |
| 2019 | 3,170 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 31% | 549 | 194 | $58K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 1,190 | 1,145 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,217 | 1,169 | $23K |
| D1206 | Topical application of fluoride varnish | 9.3% | 1,103 | 1,073 | $17K |
| D0272 | Bitewings - two radiographic images | 5.0% | 541 | 524 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.9% | 314 | 297 | $9K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.5% | 123 | 52 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 210 | 208 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 357 | 333 | $5K |
| D9248 | 2.6% | 86 | 80 | $5K | |
| D9110 | <1% | 30 | 29 | $805.36 | |
| D1110 | Prophylaxis - adult | <1% | 14 | 13 | $668.50 |
1 more codes
| D9630 | 0% | 25 | $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.