Carrie Randolph D.D.S. INC.

Carrie Randolph D.D.S. INC. was paid $88K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.

33Billing provider infoCARRIE RANDOLPH D.D.S. INC.
KODIAK, AK 99615

33aNPI1588113187assigned 09/25/2016

33bProvider typeDentist

28Total paid$88K

24GClaims1,805

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in Alaska

Rank by total paid#34 of 75

Median peer was paid$67K

This provider vs. median1.3×

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	220	$8K
2019	212	$9K
2020	178	$7K
2021	275	$12K
2022	274	$14K
2023	265	$16K
2024incomplete	381	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	557	546	$25K
D1110	Prophylaxis - adult	23%	252	241	$20K
D1206	Topical application of fluoride varnish	23%	746	728	$20K
D4910		17%	147	142	$15K
D1120	Dental cleaning, childProphylaxis - child	6.4%	89	89	$6K
D0330	Panoramic radiographic image	1.5%	14	13	$1K

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 officialRANDOLPH, CARRIE (GENERAL DENTIST)