Sousa, Randolph

Sousa, Randolph was paid $564K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.

33Billing provider infoSOUSA, RANDOLPH
FALL RIVER, MA 02721

33aNPI1932128162assigned 07/19/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$564K

24GClaims16,305

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Massachusetts

Rank by total paid#167 of 693

Median peer was paid$87K

This provider vs. median6.5×

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	2,855	$96K
2019	2,750	$96K
2020	2,072	$73K
2021	2,111	$74K
2022	2,691	$86K
2023	2,109	$74K
2024incomplete	1,717	$65K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	50%	5,607	5,353	$283K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	5,105	4,893	$109K
D0210	Intraoral - complete series of radiographic images	5.6%	459	453	$31K
D0140	Limited oral evaluation - problem focused	5.3%	768	746	$30K
D0274	Bitewings - four radiographic images	5.1%	893	806	$29K
D0272	Bitewings - two radiographic images	3.8%	878	863	$21K
D0220	Intraoral - periapical first radiographic image	3.5%	1,413	1,322	$20K
D9110		2.8%	446	405	$16K
D1208	Topical application of fluoride, excluding varnish	2.0%	397	394	$11K
D0150	Comprehensive oral evaluation - new or established patient	1.1%	166	161	$6K
D1120	Dental cleaning, childProphylaxis - child	<1%	105	102	$5K
D2160		<1%	19	15	$2K

2 more codes

D2150	Silver amalgam - two surfaces, primary or permanent	<1%	13	$881.00
D0230	Intraoral - periapical each additional radiographic image	<1%	36	$390.00

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.