Busch, James
Busch, James was paid $12K by Medicaid between Jan 2018 and Jun 2019, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 42% of everything it billed.
33Billing provider infoBUSCH, JAMES
LIGONIER, PA 15658
LIGONIER, PA 15658
33aNPI1548648785assigned 05/07/2015
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$12K
24GClaims506
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Pennsylvania
Rank by total paid#285 of 651
Median peer was paid$8K
This provider vs. median1.5×
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 | 177 | $4K | |
| 2019 | 329 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 42% | 163 | 154 | $5K |
| D1206 | Topical application of fluoride varnish | 31% | 221 | 205 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 82 | 77 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 21 | 13 | $792.12 |
| D0272 | Bitewings - two radiographic images | 3.3% | 19 | 13 | $384.18 |
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.