Dental
James M. Crouse, DDS, PA
James M. Crouse, DDS, PA was paid $91K by Medicaid between May 2021 and Mar 2022, across 14 billing codes. Its largest line is D1351, Sealant - per tooth — 28% of everything it billed.
33Billing provider infoJAMES M. CROUSE, DDS, PA
SALISBURY, MD 21801
SALISBURY, MD 21801
33aNPI1457533325assigned 12/03/2007
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$91K
24GClaims2,934
24DCodes billed14
24AFirst – last monthMay 2021 – Mar 2022
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Maryland
Rank by total paid#59 of 86
Median peer was paid$313K
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 | |
|---|---|---|---|
| 2021 | 2,676 | $84K | |
| 2022 | 258 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 28% | 830 | 133 | $25K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 123 | 73 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 271 | 268 | $13K |
| D1206 | Topical application of fluoride varnish | 13% | 500 | 498 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 286 | 283 | $11K |
| D0330 | Panoramic radiographic image | 3.6% | 86 | 86 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 174 | 160 | $3K |
| D0272 | Bitewings - two radiographic images | 2.4% | 150 | 148 | $2K |
| D2940 | 2.1% | 39 | 13 | $2K | |
| D1330 | 1.6% | 252 | 250 | $1K | |
| D0274 | Bitewings - four radiographic images | 1.6% | 80 | 80 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.0% | 37 | 37 | $930.56 |
2 more codes
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.
From NPPES
Who's on the registration
Authorized officialCROUSE, JAMES (OWNER/ORTHODONTIST)