Dental
James, Charles
James, Charles was paid $32K by Medicaid between Jan 2018 and Jul 2022, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.
33Billing provider infoJAMES, CHARLES
FALLS CITY, NE 68355
FALLS CITY, NE 68355
33aNPI1164539540assigned 08/23/2006
33bProvider typeDentist
28Total paid$32K
24GClaims1,613
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Dentist providers in Nebraska
Rank by total paid#55 of 119
Median peer was paid$24K
This provider vs. median1.3×
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 | 282 | $6K | |
| 2019 | 295 | $7K | |
| 2020 | 390 | $8K | |
| 2021 | 617 | $10K | |
| 2022 | 29 | $468.28 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 48% | 700 | 700 | $15K |
| D1110 | Prophylaxis - adult | 18% | 180 | 180 | $6K |
| D1999 | 14% | 450 | 427 | $4K | |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 131 | 131 | $3K |
| D0274 | Bitewings - four radiographic images | 5.9% | 98 | 98 | $2K |
| D1206 | Topical application of fluoride varnish | 1.9% | 27 | 27 | $606.34 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 15 | 15 | $330.00 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $156.00 |
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.