Dental
Randall, Grady
Randall, Grady was paid $321K by Medicaid between Jul 2018 and Oct 2019, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 26% of everything it billed.
33Billing provider infoRANDALL, GRADY
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
33aNPI1609188531assigned 07/08/2010
33bProvider typePediatric Dentist
28Total paid$321K
24GClaims5,866
24DCodes billed21
24AFirst – last monthJul 2018 – Oct 2019
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#85 of 153
Median peer was paid$464K
This provider vs. median0.7×
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 | 2,228 | $108K | |
| 2019 | 3,638 | $213K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 26% | 446 | 200 | $84K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 866 | 866 | $35K |
| D1206 | Topical application of fluoride varnish | 8.3% | 976 | 976 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 655 | 655 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 6.2% | 241 | 133 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 161 | 94 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 314 | 314 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 195 | 126 | $17K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.9% | 129 | 49 | $16K |
| D0240 | 3.4% | 529 | 307 | $11K | |
| D9310 | 3.3% | 147 | 147 | $11K | |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 170 | 166 | $10K |
9 more codes
| D0272 | Bitewings - two radiographic images | 2.9% | 368 | $9K |
| D9248 | 1.4% | 89 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.3% | 100 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 173 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 44 | $3K |
| D1351 | Sealant - per tooth | <1% | 92 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 142 | $2K |
| D9420 | <1% | 12 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 17 | $453.36 |
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.