Randolph C. Pearson, D.D.S., P.S.

Randolph C. Pearson, D.D.S., P.S. was paid $3K by Medicaid between Feb 2018 and Jun 2019, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 74% of everything it billed.

33Billing provider infoRANDOLPH C. PEARSON, D.D.S., P.S.
WALLA WALLA, WA 99362

33aNPI1790706653assigned 07/23/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims165

24DCodes billed2

24AFirst – last monthFeb 2018 – Jun 2019

Compared with peers

Next to other General Practice Dentistry providers in Washington

Rank by total paid#216 of 319

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
2018	111	$2K
2019	54	$996.53

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	74%	105	104	$2K
D1208	Topical application of fluoride, excluding varnish	26%	60	58	$735.49

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.

From NPPES

Who's on the registration

Authorized officialPEARSON, RANDOLPH (PRESIDENT)