Dental
Helton, James
Helton, James was paid $217K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoHELTON, JAMES
EUFAULA, AL 36027
EUFAULA, AL 36027
33aNPI1003973520assigned 01/03/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$217K
24GClaims9,586
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Alabama
Rank by total paid#79 of 293
Median peer was paid$31K
This provider vs. median7.1×
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 | 2,894 | $67K | |
| 2019 | 2,144 | $45K | |
| 2020 | 837 | $17K | |
| 2021 | 1,541 | $37K | |
| 2022 | 975 | $21K | |
| 2023 | 733 | $19K | |
| 2024incomplete | 462 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 2,509 | 2,377 | $44K |
| D1110 | Prophylaxis - adult | 19% | 1,215 | 1,153 | $42K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 1,367 | 1,296 | $36K |
| D0272 | Bitewings - two radiographic images | 12% | 1,626 | 1,553 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 1,821 | 1,749 | $26K |
| D0330 | Panoramic radiographic image | 11% | 532 | 506 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 83 | 53 | $5K |
| D2140 | 2.1% | 98 | 73 | $5K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 193 | 181 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 66 | 65 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 19 | 14 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 40 | 40 | $1K |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 17 | $113.00 |
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.