Dental
Lewis, Peete
Lewis, Peete was paid $90K by Medicaid between Jan 2018 and Jan 2019, across 10 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoLEWIS, PEETE
SMYRNA, TN 37167
SMYRNA, TN 37167
33aNPI1669677316assigned 06/20/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$90K
24GClaims2,644
24DCodes billed10
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#184 of 336
Median peer was paid$123K
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 | 2,504 | $86K | |
| 2019 | 140 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 20% | 313 | 149 | $18K |
| D1110 | Prophylaxis - adult | 14% | 307 | 303 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 172 | 98 | $12K |
| D1206 | Topical application of fluoride varnish | 11% | 512 | 507 | $10K |
| D0274 | Bitewings - four radiographic images | 10% | 357 | 355 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 10% | 334 | 295 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 353 | 350 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.7% | 215 | 214 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 2.5% | 37 | 37 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 44 | 44 | $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.