James, Kenneth

James, Kenneth was paid $71K by Medicaid between Jan 2018 and Jul 2023, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.

33Billing provider infoJAMES, KENNETH
NEWARK, NJ 07114

33aNPI1063524551assigned 08/31/2006

33bProvider typeDentist

28Total paid$71K

24GClaims6,164

24DCodes billed15

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Dentist providers in New Jersey

Rank by total paid#251 of 674

Median peer was paid$27K

This provider vs. median2.7×

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	2,364	$28K
2019	1,671	$21K
2020	966	$12K
2021	345	$3K
2022	308	$3K
2023	510	$5K

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%	925	922	$15K
D4346		17%	395	392	$12K
D1206	Topical application of fluoride varnish	13%	699	695	$9K
D0230	Intraoral - periapical each additional radiographic image	7.3%	991	962	$5K
D1120	Dental cleaning, childProphylaxis - child	6.3%	291	290	$5K
D0220	Intraoral - periapical first radiographic image	5.9%	1,111	1,052	$4K
D9920		5.8%	316	291	$4K
D0274	Bitewings - four radiographic images	5.8%	487	486	$4K
D0210	Intraoral - complete series of radiographic images	4.6%	124	124	$3K
D1351	Sealant - per tooth	4.3%	310	61	$3K
D0140	Limited oral evaluation - problem focused	3.7%	169	149	$3K
D0150	Comprehensive oral evaluation - new or established patient	3.0%	110	100	$2K

3 more codes

D0601		2.2%	194	$2K
D1110	Prophylaxis - adult	<1%	25	$443.00
D9210		<1%	17	$89.00

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.