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
BOWLING GREEN, KY 42104
33aNPI1316916463assigned 03/14/2006
33bProvider typeOral and Maxillofacial Pathology Dentist
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
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 | 259 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.