Sisson, James

Sisson, James was paid $27K by Medicaid between May 2020 and Jun 2023, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.

33Billing provider infoSISSON, JAMES
PENDLETON, IN 46064

33aNPI1720002942assigned 07/27/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$27K

24GClaims850

24DCodes billed6

24AFirst – last monthMay 2020 – Jun 2023

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#438 of 723

Median peer was paid$60K

This provider vs. median0.5×

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	50	$2K
2021	155	$4K
2022	387	$13K
2023	258	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	46%	264	255	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	338	323	$8K
D0274	Bitewings - four radiographic images	14%	95	94	$4K
D1206	Topical application of fluoride varnish	9.1%	127	114	$2K
D0150	Comprehensive oral evaluation - new or established patient	1.8%	13	13	$500.55
D0210	Intraoral - complete series of radiographic images	1.5%	13	12	$421.44

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.