James, Sonya

James, Sonya was paid $24K by Medicaid between May 2018 and Apr 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 50% of everything it billed.

33Billing provider infoJAMES, SONYA
WESTON, WV 26452

33aNPI1316054877assigned 08/23/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$24K

24GClaims1,051

24DCodes billed4

24AFirst – last monthMay 2018 – Apr 2024

Compared with peers

Next to other General Practice Dentistry providers in West Virginia

Rank by total paid#108 of 193

Median peer was paid$44K

This provider vs. median0.5×

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	40	$1K
2019	199	$3K
2020	345	$7K
2021	81	$2K
2022	239	$6K
2023	135	$4K
2024incomplete	12	$330.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	50%	523	400	$12K
D1208	Topical application of fluoride, excluding varnish	25%	334	259	$6K
D1120	Dental cleaning, childProphylaxis - child	18%	111	105	$4K
D1351	Sealant - per tooth	6.5%	83	14	$2K

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.