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

James, Patricia

James, Patricia was paid $1.75M by Medicaid between May 2019 and Jun 2024, across 7 billing codes. Its largest line is D1351, Sealant - per tooth — 37% of everything it billed.

33Billing provider infoJAMES, PATRICIA
CHICAGO, IL 60652
33aNPI1164597613assigned 11/21/2006
28Total paid$1.75M
24GClaims59,206
24DCodes billed7
24AFirst – last monthMay 2019 – Jun 2024
Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#57 of 1,017
Median peer was paid$123K
This provider vs. median14×

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$50K$100K$150K2018201920202021202220232024
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
20191,638$40K
20203,473$80K
20213,669$90K
202211,667$365K
202319,248$599K
2024incomplete19,511$572K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 37% 14,981 5,733 $647K
D1120 Dental cleaning, childProphylaxis - child 27% 11,537 11,366 $472K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 19% 11,589 11,422 $330K
D1206 Topical application of fluoride varnish 17% 11,523 11,351 $297K
D0601 0% 5,016 4,986 $0.00
D0602 0% 3,769 3,729 $0.00
D0603 0% 791 784 $0.00

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.