Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Lewis, James

Lewis, James was paid $313K by Medicaid between Mar 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.

33Billing provider infoLEWIS, JAMES
CLIFTON PARK, NY 12065
33aNPI1144635467assigned 06/25/2014
33bProvider typePediatric Dentist
28Total paid$313K
24GClaims9,614
24DCodes billed19
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#215 of 514
Median peer was paid$196K
This provider vs. median1.6×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018378$10K
2019852$26K
2020100$3K
202244$2K
20231,942$65K
2024incomplete6,298$207K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 36% 2,634 2,633 $113K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 20% 2,354 2,354 $64K
D1206 Topical application of fluoride varnish 12% 1,276 1,276 $38K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.5% 300 135 $24K
D1208 Topical application of fluoride, excluding varnish 5.0% 1,106 1,106 $16K
D0272 Bitewings - two radiographic images 3.7% 701 701 $11K
D1110 Prophylaxis - adult 2.6% 152 152 $8K
D7140 Extraction, erupted tooth or exposed root 2.4% 174 78 $8K
D0150 Comprehensive oral evaluation - new or established patient 1.8% 193 193 $6K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.8% 187 185 $6K
D0145 Oral evaluation for a patient under three years of age 1.7% 178 178 $5K
D2930 Prefabricated stainless steel crown - primary tooth 1.7% 44 12 $5K
7 more codes
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.1% 68 $3K
D0240 <1% 109 $3K
D1351 Sealant - per tooth <1% 37 $1K
D0140 Limited oral evaluation - problem focused <1% 38 $537.90
D0220 Intraoral - periapical first radiographic image <1% 38 $507.50
D0330 Panoramic radiographic image <1% 13 $499.20
D0274 Bitewings - four radiographic images <1% 12 $327.12

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.