Dental
Justice, James
Justice, James was paid $153K by Medicaid between Jan 2018 and Mar 2021, across 17 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 19% of everything it billed.
33Billing provider infoJUSTICE, JAMES
ELKHORN CITY, KY 41522
ELKHORN CITY, KY 41522
33aNPI1396891347assigned 01/25/2007
33bProvider typeDentist
28Total paid$153K
24GClaims5,526
24DCodes billed17
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Dentist providers in Kentucky
Rank by total paid#140 of 350
Median peer was paid$95K
This provider vs. median1.6×
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 | 2,988 | $87K | |
| 2019 | 2,512 | $66K | |
| 2020 | 14 | $312.00 | |
| 2021 | 12 | $286.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 1,254 | 1,202 | $29K |
| D1110 | Prophylaxis - adult | 16% | 648 | 630 | $24K |
| D0330 | Panoramic radiographic image | 13% | 566 | 547 | $20K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 12% | 279 | 145 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 412 | 400 | $17K |
| D0274 | Bitewings - four radiographic images | 11% | 836 | 800 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 116 | 90 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 433 | 420 | $6K |
| D2335 | 3.6% | 73 | 41 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 620 | 524 | $4K |
| D7310 | 1.6% | 44 | 32 | $3K | |
| D2332 | <1% | 19 | 12 | $988.68 |
5 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 19 | $699.20 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 156 | $698.90 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 16 | $694.42 |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $441.20 |
| D9110 | <1% | 21 | $439.32 |
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.