Dental
Dibelka, James
Dibelka, James was paid $56K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoDIBELKA, JAMES
SHIPROCK, NM 87420
SHIPROCK, NM 87420
33aNPI1336132984assigned 08/30/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$56K
24GClaims2,521
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#98 of 202
Median peer was paid$44K
This provider vs. median1.3×
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 | 616 | $16K | |
| 2019 | 534 | $13K | |
| 2020 | 405 | $10K | |
| 2021 | 152 | $4K | |
| 2022 | 287 | $9K | |
| 2023 | 434 | $6K | |
| 2024incomplete | 93 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 687 | 687 | $21K |
| D1206 | Topical application of fluoride varnish | 25% | 734 | 734 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 667 | 667 | $12K |
| D0274 | Bitewings - four radiographic images | 8.2% | 229 | 229 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 101 | 101 | $3K |
| D1354 | 2.2% | 38 | 16 | $1K | |
| D1110 | Prophylaxis - adult | 1.1% | 40 | 40 | $613.47 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 13 | 13 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 12 | 12 | $0.00 |
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.