Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

James, Kevin

James, Kevin was paid $749K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.

33Billing provider infoJAMES, KEVIN
NEWBERRY, SC 29108
33aNPI1003973009assigned 01/02/2007
28Total paid$749K
24GClaims21,045
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#54 of 331
Median peer was paid$75K
This provider vs. median9.9×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20183,729$144K
20193,940$149K
20202,520$89K
20213,396$105K
20223,079$107K
20232,362$73K
2024incomplete2,019$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 20% 3,115 3,115 $149K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 3,863 3,863 $87K
D2391 Resin-based composite - one surface, posterior, primary or permanent 11% 1,033 521 $81K
D1120 Dental cleaning, childProphylaxis - child 10% 2,225 2,225 $77K
D1208 Topical application of fluoride, excluding varnish 8.9% 4,057 4,057 $66K
D0150 Comprehensive oral evaluation - new or established patient 8.6% 1,602 1,602 $65K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 8.5% 474 296 $63K
D0140 Limited oral evaluation - problem focused 6.1% 1,259 1,255 $46K
D0330 Panoramic radiographic image 5.4% 821 820 $41K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.2% 251 148 $24K
D0274 Bitewings - four radiographic images 2.9% 791 791 $21K
D0272 Bitewings - two radiographic images 1.6% 637 637 $12K
4 more codes
D0220 Intraoral - periapical first radiographic image 1.2% 737 $9K
D7140 Extraction, erupted tooth or exposed root <1% 79 $4K
D1351 Sealant - per tooth <1% 74 $2K
D0240 <1% 27 $511.38

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.