Allen, James

Allen, James was paid $5K by Medicaid between Feb 2018 and Jun 2019, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.

33Billing provider infoALLEN, JAMES
REXBURG, ID 83440

33aNPI1356352090assigned 08/10/2006

33bProvider typeDentist

28Total paid$5K

24GClaims510

24DCodes billed8

24AFirst – last monthFeb 2018 – Jun 2019

Compared with peers

Next to other Dentist providers in Idaho

Rank by total paid#52 of 89

Median peer was paid$16K

This provider vs. median0.3×

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	327	$4K
2019	183	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	40%	45	45	$2K
D1110	Prophylaxis - adult	29%	38	38	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	24%	19	13	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.6%	23	12	$354.78
D0274	Bitewings - four radiographic images	0%	14	14	$0.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	0%	180	180	$0.00
D1206	Topical application of fluoride varnish	0%	164	164	$0.00
D0272	Bitewings - two radiographic images	0%	27	27	$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.