Dental
Lee, James
Lee, James was paid $72K by Medicaid between Jan 2018 and Feb 2020, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoLEE, JAMES
CONWAY, SC 29526
CONWAY, SC 29526
33aNPI1124046271assigned 07/17/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$72K
24GClaims1,917
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#169 of 331
Median peer was paid$75K
This provider vs. median1.0×
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 | 1,001 | $40K | |
| 2019 | 828 | $30K | |
| 2020 | 88 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 513 | 513 | $26K |
| D7140 | Extraction, erupted tooth or exposed root | 20% | 165 | 119 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 409 | 409 | $9K |
| D0140 | Limited oral evaluation - problem focused | 9.8% | 188 | 188 | $7K |
| D0330 | Panoramic radiographic image | 7.1% | 104 | 104 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 81 | 81 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 248 | 242 | $3K |
| D0274 | Bitewings - four radiographic images | 3.0% | 81 | 81 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 113 | 113 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 15 | 15 | $487.20 |
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.