Russell, Charles

Russell, Charles was paid $27K by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 32% of everything it billed.

33Billing provider infoRUSSELL, CHARLES
HARROGATE, TN 37752

33aNPI1548264328assigned 06/09/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$27K

24GClaims1,205

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other General Practice Dentistry providers in Tennessee

Rank by total paid#248 of 336

Median peer was paid$123K

This provider vs. median0.2×

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	428	$11K
2019	643	$13K
2020	134	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	357	356	$8K
D1208	Topical application of fluoride, excluding varnish	30%	417	415	$8K
D1120	Dental cleaning, childProphylaxis - child	22%	282	277	$6K
D1110	Prophylaxis - adult	9.5%	59	58	$3K
D0272	Bitewings - two radiographic images	3.6%	52	52	$953.87
D0274	Bitewings - four radiographic images	2.8%	38	38	$756.00

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.