Dental
Lewis Pediatric Dentistry PLLC
Lewis Pediatric Dentistry PLLC was paid $543K by Medicaid between Aug 2020 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoLEWIS PEDIATRIC DENTISTRY PLLC
QUEENSBURY, NY 12804
QUEENSBURY, NY 12804
33aNPI1902445190assigned 01/06/2020
33bProvider typePediatric Dentist
28Total paid$543K
24GClaims16,074
24DCodes billed21
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#161 of 514
Median peer was paid$196K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2020 | 500 | $19K | |
| 2021 | 2,199 | $69K | |
| 2022 | 4,732 | $151K | |
| 2023 | 6,032 | $224K | |
| 2024incomplete | 2,611 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 4,131 | 4,131 | $176K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,215 | 3,215 | $83K |
| D1206 | Topical application of fluoride varnish | 14% | 2,542 | 2,542 | $75K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 343 | 183 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 894 | 894 | $27K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.7% | 191 | 80 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 1,602 | 1,602 | $23K |
| D0272 | Bitewings - two radiographic images | 3.5% | 1,253 | 1,253 | $19K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 277 | 197 | $18K |
| D0145 | Oral evaluation for a patient under three years of age | 2.9% | 525 | 525 | $16K |
| D1110 | Prophylaxis - adult | 2.1% | 237 | 237 | $12K |
| D1351 | Sealant - per tooth | 1.7% | 179 | 71 | $9K |
9 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 111 | $8K |
| D0240 | <1% | 236 | $5K | |
| D9920 | <1% | 114 | $3K | |
| D7961 | <1% | 15 | $3K | |
| D7962 | <1% | 14 | $3K | |
| D0330 | Panoramic radiographic image | <1% | 78 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 69 | $943.00 |
| D0274 | Bitewings - four radiographic images | <1% | 22 | $595.20 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 26 | $329.68 |
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 officialLEWIS, JAMES (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Mercy Ambulance Services INC | Lebanon, VA | $3.71M |
| The Harvey & Lewis Co. | Hartford, CT | $2.94M |
| James S Lewis MD PC | Elkins Park, PA | $201K |
| Winchester School District | Winchester, NH | $125K |
| Pain Management of Swva, INC. | Lebanon, VA | $41K |
| USA DME Medical Supply LLC | Philadelphia, PA | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.