Carpenter, James

Carpenter, James was paid $440K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.

33Billing provider infoCARPENTER, JAMES
ELKINS, WV 26241

33aNPI1669584066assigned 08/31/2006

33bProvider typeDentist

28Total paid$440K

24GClaims13,845

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in West Virginia

Rank by total paid#25 of 112

Median peer was paid$60K

This provider vs. median7.4×

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

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	1,163	$32K
2019	1,049	$25K
2020	2,735	$70K
2021	2,492	$73K
2022	2,697	$109K
2023	1,928	$71K
2024incomplete	1,781	$59K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	19%	2,450	1,964	$86K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	3,144	2,576	$73K
D1208	Topical application of fluoride, excluding varnish	14%	3,179	2,576	$61K
D1110	Prophylaxis - adult	14%	1,204	1,045	$60K
D0330	Panoramic radiographic image	10%	799	630	$45K
D0274	Bitewings - four radiographic images	6.9%	886	770	$30K
D0140	Limited oral evaluation - problem focused	6.4%	880	738	$28K
D7140	Extraction, erupted tooth or exposed root	4.7%	305	117	$21K
D1351	Sealant - per tooth	3.2%	545	38	$14K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.8%	121	81	$13K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.2%	51	38	$5K
D0220	Intraoral - periapical first radiographic image	<1%	199	166	$3K

2 more codes

D1320		<1%	64	$796.75
D0150	Comprehensive oral evaluation - new or established patient	<1%	18	$539.00

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.