JAMES CANNON ALLEN DDS PC

NPI: 1033461660 · REXBURG, ID 83440 · General Practice Dentistry · NPI assigned 10/05/2012

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official ALLEN, JAMES controls 13+ related entities in our dataset. Read more

$53K

Total Medicaid Paid

2,512

Total Claims

2,429

Beneficiaries

Codes Billed

2019-08

First Month

2024-12

Last Month

Provider Details

Authorized Official	ALLEN, JAMES (DENTIST)
NPI Enumeration Date	10/05/2012

Other providers sharing the same authorized official: ALLEN, JAMES

Provider	City	State	Total Paid
NORTHEAST ALABAMA HEALTH SERVICES, INC	SCOTTSBORO	AL	$3.75M
JOEL T CALLAHAN THOMAS H GREER JR & A GARY BOONE PTR	MERIDIAN	MS	$1.02M
MID-FLORIDA PATHOLOGY LLC	EUSTIS	FL	$1.00M
QUALITY URGENT CARE	MCCOOK	NE	$925K
ALLEN & HESTIR DENTAL INC	STUTTGART	AR	$347K
PENDLETON AREA RESCUE SQUAD	PENDLETON	SC	$46K
NORTHEAST ALABAMA HEALTH SERVICES, INC.	WOODVILLE	AL	$0.00
NORTHEAST ALABAMA HEALTH SERVICES, INC.	SCOTTSBORO	AL	$0.00
NORTHEAST ALABAMA HEALTH SERVICES, INC.	SECTION	AL	$0.00
NORTHEAST ALABAMA HEALTH SERVICES, INC.	BRYANT	AL	$0.00
NORTHEAST ALABAMA HEALTH SERVICES, INC.	FORT PAYNE	AL	$0.00
NORTHEAST ALABAMA HEALTH SERVICES, INC.	SCOTTSBORO	AL	$0.00
NORTHEAST ALABAMA HEALTH SERVICES, INC.	FYFFE	AL	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	649	646	$44K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	111	53	$5K
D1120	Prophylaxis - child	41	41	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	35	18	$1K
D0120	Periodic oral evaluation - established patient	849	845	$549.94
D0274	Bitewings - four radiographic images	412	411	$417.67
D1206	Topical application of fluoride varnish	391	391	$13.55
D0272	Bitewings - two radiographic images	24	24	$0.00