Sara, James

Sara, James was paid $150K by Medicaid between Nov 2020 and Oct 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.

33Billing provider infoSARA, JAMES
JERSEY CITY, NJ 07306

33aNPI1710522826assigned 11/12/2019

33bProvider typeGeneral Practice Dentistry

28Total paid$150K

24GClaims5,261

24DCodes billed16

24AFirst – last monthNov 2020 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#256 of 790

Median peer was paid$43K

This provider vs. median3.5×

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	424	$11K
2021	2,059	$60K
2022	709	$18K
2023	1,420	$45K
2024incomplete	649	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	32%	1,084	1,081	$48K
D1206	Topical application of fluoride varnish	17%	845	841	$25K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	911	911	$22K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	10%	225	141	$16K
D2740	Crown - porcelain/ceramic	7.0%	19	12	$10K
D0274	Bitewings - four radiographic images	3.4%	439	439	$5K
D1208	Topical application of fluoride, excluding varnish	3.4%	204	204	$5K
D0210	Intraoral - complete series of radiographic images	3.3%	112	111	$5K
D0220	Intraoral - periapical first radiographic image	2.3%	738	735	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.3%	64	44	$4K
D0230	Intraoral - periapical each additional radiographic image	1.9%	531	530	$3K
D2950		<1%	21	13	$1K

4 more codes

D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	13	$1K
D0140	Limited oral evaluation - problem focused	<1%	12	$540.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	16	$400.00
D0603		<1%	27	$270.00

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.