Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Cedar Hill › NPI 1376745521
Dental

James, Tonjolique

James, Tonjolique was paid $15K by Medicaid between Dec 2020 and Oct 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.

33Billing provider infoJAMES, TONJOLIQUE
CEDAR HILL, TX 75104
33aNPI1376745521assigned 06/01/2007
33bProvider typeDentist
28Total paid$15K
24GClaims1,171
24DCodes billed9
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,012 of 1,678
Median peer was paid$35K
This provider vs. median0.4×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
202040$437.29
2021289$4K
2022360$5K
2023336$4K
2024incomplete146$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 29% 169 161 $4K
D0220 Intraoral - periapical first radiographic image 21% 311 292 $3K
D0230 Intraoral - periapical each additional radiographic image 19% 304 285 $3K
D1206 Topical application of fluoride varnish 15% 171 160 $2K
D0274 Bitewings - four radiographic images 7.9% 40 38 $1K
D1110 Prophylaxis - adult 4.8% 14 14 $714.56
D1208 Topical application of fluoride, excluding varnish 3.4% 39 37 $511.56
D0602 0% 29 26 $0.00
D0603 0% 94 79 $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.