Lyman, J.

Lyman, J. was paid $3K by Medicaid between Oct 2019 and Feb 2020, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.

33Billing provider infoLYMAN, J.
TWIN FALLS, ID 83301

33aNPI1750392189assigned 08/10/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims76

24DCodes billed3

24AFirst – last monthOct 2019 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Idaho

Rank by total paid#135 of 173

Median peer was paid$22K

This provider vs. median0.1×

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
2019	37	$983.51
2020	39	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	100%	26	26	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	0%	38	38	$0.00
D1206	Topical application of fluoride varnish	0%	12	12	$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.