Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Philley, James

Philley, James was paid $87K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 25% of everything it billed.

33Billing provider infoPHILLEY, JAMES
GRENADA, MS 38901
33aNPI1467572206assigned 03/29/2007
28Total paid$87K
24GClaims2,873
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other General Practice Dentistry providers in Mississippi

Rank by total paid#183 of 379
Median peer was paid$78K
This provider vs. median1.1×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,158$37K
2019384$11K
2020256$8K
2021277$7K
2022442$11K
2023238$8K
2024incomplete118$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0140 Limited oral evaluation - problem focused 25% 643 585 $22K
D0150 Comprehensive oral evaluation - new or established patient 23% 590 552 $20K
D1120 Dental cleaning, childProphylaxis - child 16% 569 524 $14K
D0330 Panoramic radiographic image 11% 256 230 $10K
D8670 Periodic orthodontic treatment visit 11% 116 94 $9K
D1208 Topical application of fluoride, excluding varnish 6.6% 374 347 $6K
D0272 Bitewings - two radiographic images 5.0% 255 227 $4K
D0220 Intraoral - periapical first radiographic image <1% 45 40 $504.96
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient <1% 25 17 $462.00

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.