Dental
Lewiston Dental Care
Lewiston Dental Care was paid $15K by Medicaid between Dec 2021 and Aug 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.
33Billing provider infoLEWISTON DENTAL CARE
LEWISTON, MN 55952
LEWISTON, MN 55952
33aNPI1801443049assigned 08/22/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$15K
24GClaims321
24DCodes billed4
24AFirst – last monthDec 2021 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#198 of 368
Median peer was paid$19K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2021 | 12 | $476.58 | |
| 2022 | 70 | $3K | |
| 2023 | 167 | $7K | |
| 2024incomplete | 72 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 45% | 102 | 102 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 42% | 161 | 160 | $6K |
| D1206 | Topical application of fluoride varnish | 9.0% | 46 | 40 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 12 | 12 | $476.58 |
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 officialBULLARD, BRADLEY (DENTIST/OWNER)