Dental
Kodama, James
Kodama, James was paid $96K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoKODAMA, JAMES
RESEDA, CA 91335
RESEDA, CA 91335
33aNPI1114017589assigned 10/13/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$96K
24GClaims5,304
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,563 of 2,668
Median peer was paid$173K
This provider vs. median0.6×
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 | 1,470 | $22K | |
| 2019 | 851 | $15K | |
| 2020 | 356 | $4K | |
| 2021 | 789 | $15K | |
| 2022 | 481 | $11K | |
| 2023 | 799 | $16K | |
| 2024incomplete | 558 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 404 | 404 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 301 | 301 | $17K |
| D0274 | Bitewings - four radiographic images | 16% | 757 | 757 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 3,284 | 877 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 135 | 135 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 232 | 232 | $3K |
| D9430 | 2.9% | 87 | 73 | $3K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.5% | 92 | 92 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | 12 | $576.00 |
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.