Dental
Fairbanks, James
Fairbanks, James was paid $18K by Medicaid between Jan 2018 and Oct 2020, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoFAIRBANKS, JAMES
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
33aNPI1356629059assigned 07/28/2011
33bProvider typeDentist
28Total paid$18K
24GClaims209
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#202 of 284
Median peer was paid$109K
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 | 118 | $11K | |
| 2020 | 91 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 60% | 77 | 76 | $10K |
| D0140 | Limited oral evaluation - problem focused | 13% | 13 | 13 | $2K |
| D1110 | Prophylaxis - adult | 13% | 16 | 16 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 27 | 27 | $2K |
| D1206 | Topical application of fluoride varnish | 2.1% | 30 | 30 | $368.38 |
| D0274 | Bitewings - four radiographic images | 1.1% | 14 | 14 | $184.19 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 14 | 14 | $67.05 |
| D0191 | 0% | 18 | 18 | $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.