Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NM › Farmington › NPI 1548376270
Dental

Cole, James

Cole, James was paid $3K by Medicaid between Jan 2018 and Jul 2023, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.

33Billing provider infoCOLE, JAMES
FARMINGTON, NM 87401
33aNPI1548376270assigned 08/23/2006
33bProvider typeDentist
28Total paid$3K
24GClaims104
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Dentist providers in New Mexico

Rank by total paid#160 of 179
Median peer was paid$47K
This provider vs. median0.1×

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$500$1.0K2018201920202021202220232024
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
201850$1K
202354$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 39% 30 30 $964.82
D1208 Topical application of fluoride, excluding varnish 26% 36 36 $649.13
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 21% 24 24 $516.32
D0150 Comprehensive oral evaluation - new or established patient 15% 14 12 $374.50

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.