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

James J. Lipaj and Associates

James J. Lipaj and Associates was paid $36K by Medicaid between Jan 2018 and Feb 2020, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.

33Billing provider infoJAMES J. LIPAJ AND ASSOCIATES
DOYLESTOWN, OH 44230
33aNPI1245402023assigned 04/01/2008
28Total paid$36K
24GClaims1,789
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#456 of 870
Median peer was paid$40K
This provider vs. median0.9×

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$2.0K$4.0K2018201920202021202220232024
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
2018716$13K
20191,024$22K
202049$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 40% 439 425 $14K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 32% 690 667 $11K
D1208 Topical application of fluoride, excluding varnish 10% 243 238 $4K
D1120 Dental cleaning, childProphylaxis - child 8.0% 158 152 $3K
D0272 Bitewings - two radiographic images 6.1% 218 210 $2K
D2150 Silver amalgam - two surfaces, primary or permanent 2.5% 16 13 $907.20
D0274 Bitewings - four radiographic images 1.4% 25 25 $504.00

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.

From NPPES

Who's on the registration

Authorized officialLIPAJ, JAMES (OWNER)