Dental
James E. Clayton, JR., D.M.D., P.C.
James E. Clayton, JR., D.M.D., P.C. was paid $254K by Medicaid between Jan 2018 and Sep 2021, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.
33Billing provider infoJAMES E. CLAYTON, JR., D.M.D., P.C.
NORTHAMPTON, MA 01060
NORTHAMPTON, MA 01060
33aNPI1598870453assigned 08/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$254K
24GClaims6,535
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#235 of 693
Median peer was paid$87K
This provider vs. median2.9×
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 | 2,182 | $86K | |
| 2019 | 2,038 | $81K | |
| 2020 | 1,068 | $41K | |
| 2021 | 1,247 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39% | 1,768 | 1,740 | $98K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 2,599 | 2,564 | $66K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 838 | 831 | $41K |
| D1206 | Topical application of fluoride varnish | 8.0% | 802 | 788 | $20K |
| D0274 | Bitewings - four radiographic images | 5.3% | 359 | 352 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 90 | 48 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 79 | 48 | $6K |
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 officialCLAYTON, JAMES,JR. (OWNER)