Dental
Thomas, James
Thomas, James was paid $198K by Medicaid between Feb 2021 and Aug 2024, across 22 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 19% of everything it billed.
33Billing provider infoTHOMAS, JAMES
MOUNT JOY, PA 17552
MOUNT JOY, PA 17552
33aNPI1134274152assigned 01/23/2007
33bProvider typeDentist
28Total paid$198K
24GClaims6,418
24DCodes billed22
24AFirst – last monthFeb 2021 – Aug 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#124 of 683
Median peer was paid$34K
This provider vs. median5.8×
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 | |
|---|---|---|---|
| 2021 | 5,365 | $171K | |
| 2024incomplete | 1,053 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 19% | 578 | 312 | $38K |
| D1110 | Prophylaxis - adult | 18% | 999 | 999 | $36K |
| D0274 | Bitewings - four radiographic images | 10% | 712 | 712 | $20K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.9% | 320 | 231 | $18K |
| D1351 | Sealant - per tooth | 8.5% | 716 | 102 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 650 | 649 | $13K |
| D0330 | Panoramic radiographic image | 6.4% | 337 | 336 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 453 | 453 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.1% | 202 | 201 | $6K |
| D2140 | 2.9% | 129 | 97 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 232 | 231 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 521 | 514 | $4K |
10 more codes
| D2160 | 1.7% | 51 | $3K | |
| D1206 | Topical application of fluoride varnish | 1.3% | 137 | $3K |
| D2332 | 1.0% | 31 | $2K | |
| D2331 | 1.0% | 33 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 91 | $1K |
| D9110 | <1% | 38 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 127 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 33 | $704.76 |
| D1330 | <1% | 14 | $110.80 | |
| D1310 | <1% | 14 | $108.70 |
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.