Randolph, Bradley

Randolph, Bradley was paid $649.06 by Medicaid between Mar 2018 and Aug 2022, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.

33Billing provider infoRANDOLPH, BRADLEY
BURLINGTON, IA 52601

33aNPI1497757546assigned 06/01/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$649.06

24GClaims49

24DCodes billed1

24AFirst – last monthMar 2018 – Aug 2022

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#391 of 437

Median peer was paid$22K

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
2018	35	$492.03
2022	14	$157.03

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	100%	49	39	$649.06

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.