Lewis, Virginia

Lewis, Virginia was paid $4K by Medicaid between May 2023 and Sep 2023, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.

33Billing provider infoLEWIS, VIRGINIA
SPRINGFIELD, KY 40069

33aNPI1457511024assigned 06/16/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims149

24DCodes billed6

24AFirst – last monthMay 2023 – Sep 2023

Compared with peers

Next to other General Practice Dentistry providers in Kentucky

Rank by total paid#414 of 462

Median peer was paid$106K

This provider vs. median0.0×

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
2023	149	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	37%	31	29	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	34	31	$797.50
D1206	Topical application of fluoride varnish	16%	40	34	$618.75
D1120	Dental cleaning, childProphylaxis - child	14%	13	12	$542.85
D0150	Comprehensive oral evaluation - new or established patient	11%	14	13	$422.50
D1321		<1%	17	16	$30.00

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.