Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1598870453assigned 08/20/2006
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

$0$5.0K$10K$15K2018201920202021202220232024
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
20182,182$86K
20192,038$81K
20201,068$41K
20211,247$46K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)