Dental
Nielsen, James
Nielsen, James was paid $32K by Medicaid between Dec 2020 and Apr 2022, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.
33Billing provider infoNIELSEN, JAMES
VAN ALSTYNE, TX 75495
VAN ALSTYNE, TX 75495
33aNPI1609017102assigned 03/12/2009
33bProvider typeDentist
28Total paid$32K
24GClaims1,744
24DCodes billed12
24AFirst – last monthDec 2020 – Apr 2022
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#855 of 1,678
Median peer was paid$35K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 92 | $2K | |
| 2021 | 1,373 | $25K | |
| 2022 | 279 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 383 | 336 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 312 | 265 | $8K |
| D0274 | Bitewings - four radiographic images | 13% | 185 | 158 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 47 | 26 | $4K |
| D1110 | Prophylaxis - adult | 9.6% | 70 | 64 | $3K |
| D1206 | Topical application of fluoride varnish | 7.7% | 240 | 207 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 30 | 24 | $829.71 |
| D0272 | Bitewings - two radiographic images | 2.0% | 36 | 35 | $654.64 |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 39 | 32 | $393.96 |
| D0601 | 0% | 298 | 286 | $0.00 | |
| D0602 | 0% | 53 | 51 | $0.00 | |
| D1999 | 0% | 51 | 39 | $0.00 |
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.