Difilippo, James

Difilippo, James was paid $15K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 69% of everything it billed.

33Billing provider infoDIFILIPPO, JAMES
PORTLAND, ME 04103

33aNPI1174739189assigned 05/15/2007

33bProvider typeDentist

28Total paid$15K

24GClaims707

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in Maine

Rank by total paid#17 of 36

Median peer was paid$11K

This provider vs. median1.4×

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	226	$4K
2019	239	$4K
2020	96	$912.00
2022	46	$2K
2023	44	$2K
2024incomplete	56	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	69%	478	389	$10K
D1110	Prophylaxis - adult	14%	38	31	$2K
D0220	Intraoral - periapical first radiographic image	7.9%	160	148	$1K
D0150	Comprehensive oral evaluation - new or established patient	5.4%	14	13	$798.33
D0274	Bitewings - four radiographic images	4.2%	17	13	$624.00

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.