Lewis, Jay

Lewis, Jay was paid $90K by Medicaid between Jan 2018 and Dec 2020, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoLEWIS, JAY
LOGANSPORT, IN 46947

33aNPI1659415081assigned 02/18/2007

33bProvider typeDentist

28Total paid$90K

24GClaims2,814

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#206 of 452

Median peer was paid$59K

This provider vs. median1.5×

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	837	$12K
2019	1,075	$42K
2020	902	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	813	764	$30K
D0210	Intraoral - complete series of radiographic images	21%	318	300	$19K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	771	690	$14K
D7140	Extraction, erupted tooth or exposed root	12%	137	78	$10K
D1208	Topical application of fluoride, excluding varnish	7.0%	359	327	$6K
D0150	Comprehensive oral evaluation - new or established patient	6.4%	202	197	$6K
D0272	Bitewings - two radiographic images	3.4%	155	144	$3K
D1120	Dental cleaning, childProphylaxis - child	<1%	27	27	$826.28
D0140	Limited oral evaluation - problem focused	<1%	16	14	$543.21
D1999		0%	16	14	$0.00

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.