Randle Dental Clinic

Randle Dental Clinic was paid $57K by Medicaid between Jan 2018 and May 2021, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.

33Billing provider infoRANDLE DENTAL CLINIC
RANDLE, WA 98377

33aNPI1801143110assigned 08/07/2012

33bProvider typeDental Clinic/Center

28Total paid$57K

24GClaims3,249

24DCodes billed9

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other Dental Clinic/Center providers in Washington

Rank by total paid#109 of 143

Median peer was paid$573K

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	990	$18K
2019	970	$18K
2020	825	$14K
2021	464	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	916	901	$20K
D1120	Dental cleaning, childProphylaxis - child	27%	734	721	$16K
D1208	Topical application of fluoride, excluding varnish	16%	654	632	$9K
D0272	Bitewings - two radiographic images	6.2%	371	361	$4K
D1999		5.7%	257	224	$3K
D1206	Topical application of fluoride varnish	5.5%	239	232	$3K
D1110	Prophylaxis - adult	2.3%	40	39	$1K
D0150	Comprehensive oral evaluation - new or established patient	1.5%	26	26	$881.44
D0274	Bitewings - four radiographic images	<1%	12	12	$180.36

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 officialLEMERT, RYAN (DENTIST/OWNER)