Lewis, Randall

Lewis, Randall was paid $7K by Medicaid between Feb 2018 and Mar 2018, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.

33Billing provider infoLEWIS, RANDALL
DURAND, MI 48473

33aNPI1639287253assigned 08/25/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$7K

24GClaims263

24DCodes billed7

24AFirst – last monthFeb 2018 – Mar 2018

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#907 of 1,554

Median peer was paid$15K

This provider vs. median0.5×

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	263	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	23%	35	35	$2K
D1120	Dental cleaning, childProphylaxis - child	21%	40	40	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	57	57	$1K
D1206	Topical application of fluoride varnish	15%	47	47	$1K
D0274	Bitewings - four radiographic images	9.4%	20	20	$690.00
D0220	Intraoral - periapical first radiographic image	7.9%	36	36	$577.00
D0230	Intraoral - periapical each additional radiographic image	3.4%	28	15	$246.00

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.