Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Bluffton › NPI 1588646798
Dental

Mason, James

Mason, James was paid $1.77M by Medicaid between Aug 2018 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.

33Billing provider infoMASON, JAMES
BLUFFTON, SC 29910
33aNPI1588646798assigned 11/15/2005
33bProvider typePediatric Dentist
28Total paid$1.77M
24GClaims57,168
24DCodes billed27
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in South Carolina

Rank by total paid#37 of 86
Median peer was paid$1.24M
This provider vs. median1.4×

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$25K$50K$75K2018201920202021202220232024
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
2018505$19K
20192,566$73K
20205,107$169K
20218,979$285K
202213,328$383K
202311,408$317K
2024incomplete15,275$522K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 16% 8,112 8,112 $279K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 8,012 8,012 $187K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 10% 1,792 814 $183K
D1206 Topical application of fluoride varnish 8.5% 9,224 9,224 $150K
D1110 Prophylaxis - adult 6.3% 2,254 2,254 $111K
D9920 6.3% 2,064 2,050 $111K
D2930 Prefabricated stainless steel crown - primary tooth 4.6% 636 198 $82K
D0274 Bitewings - four radiographic images 4.1% 2,690 2,690 $73K
D0150 Comprehensive oral evaluation - new or established patient 4.1% 1,783 1,783 $72K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.5% 1,919 1,859 $61K
D0140 Limited oral evaluation - problem focused 3.0% 1,412 1,388 $54K
D0272 Bitewings - two radiographic images 2.9% 2,773 2,773 $51K
15 more codes
D0230 Intraoral - periapical each additional radiographic image 2.8% 4,812 $49K
D0330 Panoramic radiographic image 2.6% 1,016 $45K
D0220 Intraoral - periapical first radiographic image 2.5% 3,471 $44K
D1351 Sealant - per tooth 2.1% 1,283 $37K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.9% 256 $34K
D7140 Extraction, erupted tooth or exposed root 1.7% 269 $30K
D9248 1.3% 312 $22K
D0145 Oral evaluation for a patient under three years of age 1.1% 368 $19K
D1208 Topical application of fluoride, excluding varnish <1% 1,073 $17K
D0240 <1% 1,174 $16K
D2330 <1% 130 $12K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 126 $11K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 82 $7K
D9420 <1% 71 $6K
D0160 <1% 54 $5K

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.