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

Sutton, James

Sutton, James was paid $16K by Medicaid between Jan 2018 and Oct 2018, across 3 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 62% of everything it billed.

33Billing provider infoSUTTON, JAMES
BOWLING GREEN, KY 42104
33aNPI1316916463assigned 03/14/2006
28Total paid$16K
24GClaims259
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers

Next to other Oral and Maxillofacial Pathology Dentist providers in Kentucky

Rank by total paid#6 of 9
Median peer was paid$98K
This provider vs. median0.2×

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$4.0K$6.0K2018201920202021202220232024
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
2018259$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 62% 123 38 $10K
D0150 Comprehensive oral evaluation - new or established patient 32% 106 104 $5K
D0330 Panoramic radiographic image 6.4% 30 28 $1K

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.