Foulkes, James

Foulkes, James was paid $43K by Medicaid between Jan 2018 and Feb 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.

33Billing provider infoFOULKES, JAMES
TERRE HAUTE, IN 47807

33aNPI1437115052assigned 04/22/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$43K

24GClaims1,490

24DCodes billed9

24AFirst – last monthJan 2018 – Feb 2022

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#406 of 723

Median peer was paid$60K

This provider vs. median0.7×

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	283	$3K
2019	638	$22K
2020	228	$7K
2021	315	$11K
2022	26	$485.45

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	47%	484	483	$20K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	596	589	$12K
D0140	Limited oral evaluation - problem focused	9.2%	97	91	$4K
D7140	Extraction, erupted tooth or exposed root	5.6%	29	12	$2K
D0274	Bitewings - four radiographic images	3.8%	43	42	$2K
D0220	Intraoral - periapical first radiographic image	3.0%	117	114	$1K
D0150	Comprehensive oral evaluation - new or established patient	2.2%	24	24	$958.50
D1208	Topical application of fluoride, excluding varnish	1.8%	76	76	$765.00
D0230	Intraoral - periapical each additional radiographic image	<1%	24	13	$256.00

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.