Nelson, James

Nelson, James was paid $17K by Medicaid between Jan 2018 and Apr 2019, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.

33Billing provider infoNELSON, JAMES
GREAT FALLS, MT 59401

33aNPI1144359464assigned 03/04/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$17K

24GClaims561

24DCodes billed4

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other General Practice Dentistry providers in Montana

Rank by total paid#96 of 149

Median peer was paid$40K

This provider vs. median0.4×

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	399	$12K
2019	162	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	46%	169	163	$8K
D1206	Topical application of fluoride varnish	28%	240	237	$5K
D0274	Bitewings - four radiographic images	18%	95	94	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.8%	57	57	$1K

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.