Dental
Randolph T. Evans, D.D.S. P.L.L.C.
Randolph T. Evans, D.D.S. P.L.L.C. was paid $765.00 by Medicaid between Jan 2018 and Jan 2018, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 56% of everything it billed.
33Billing provider infoRANDOLPH T. EVANS, D.D.S. P.L.L.C.
MARTINSBURG, WV 25403
MARTINSBURG, WV 25403
33aNPI1902026479assigned 04/26/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$765.00
24GClaims48
24DCodes billed3
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers
Next to other General Practice Dentistry providers in West Virginia
Rank by total paid#177 of 193
Median peer was paid$44K
This provider vs. median0.0×
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 | 48 | $765.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 56% | 17 | 17 | $425.00 |
| D1206 | Topical application of fluoride varnish | 44% | 17 | 17 | $340.00 |
| D9630 | 0% | 14 | 14 | $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.
From NPPES
Who's on the registration
Authorized officialEVANS, RANDOLPH (OWNER)