Dental
Shirley, James
Shirley, James was paid $4.69M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoSHIRLEY, JAMES
DERIDDER, LA 70634
DERIDDER, LA 70634
33aNPI1023239613assigned 05/01/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$4.69M
24GClaims120,222
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Louisiana
Rank by total paid#8 of 412
Median peer was paid$83K
This provider vs. median56×
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 | 14,735 | $542K | |
| 2019 | 16,003 | $619K | |
| 2020 | 12,121 | $423K | |
| 2021 | 16,873 | $616K | |
| 2022 | 20,854 | $742K | |
| 2023 | 22,033 | $942K | |
| 2024incomplete | 17,603 | $806K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 18,615 | 18,426 | $659K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 4,450 | 1,047 | $581K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 18,134 | 17,951 | $523K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.9% | 5,210 | 3,359 | $465K |
| D1208 | Topical application of fluoride, excluding varnish | 8.9% | 20,379 | 20,184 | $416K |
| D7140 | Extraction, erupted tooth or exposed root | 8.5% | 6,183 | 3,616 | $400K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.0% | 9,139 | 8,302 | $328K |
| D0272 | Bitewings - two radiographic images | 6.1% | 13,015 | 12,809 | $285K |
| D1110 | Prophylaxis - adult | 4.7% | 4,516 | 4,477 | $222K |
| D2140 | 4.3% | 2,764 | 2,033 | $201K | |
| D1351 | Sealant - per tooth | 4.2% | 6,004 | 1,549 | $199K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 3,498 | 3,433 | $169K |
13 more codes
| D0145 | Oral evaluation for a patient under three years of age | 2.3% | 2,209 | $106K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 3,731 | $57K |
| D9420 | <1% | 330 | $29K | |
| D2933 | <1% | 80 | $13K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 647 | $9K |
| D2330 | <1% | 108 | $9K | |
| D0330 | Panoramic radiographic image | <1% | 125 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 365 | $4K |
| D2331 | <1% | 33 | $4K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 38 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 622 | $218.61 |
| D9986 | 0% | 12 | $0.00 | |
| D9110 | 0% | 15 | $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.