Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Philbrick, James

Philbrick, James was paid $72K by Medicaid between Jan 2018 and Oct 2022, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.

33Billing provider infoPHILBRICK, JAMES
FLORENCE, KY 41042
33aNPI1730109794assigned 07/20/2006
28Total paid$72K
24GClaims3,059
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers

Next to other General Practice Dentistry providers in Kentucky

Rank by total paid#269 of 462
Median peer was paid$106K
This provider vs. median0.7×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,683$41K
2019665$16K
2020255$5K
2021238$5K
2022218$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 24% 752 729 $17K
D1120 Dental cleaning, childProphylaxis - child 22% 386 377 $16K
D1206 Topical application of fluoride varnish 15% 840 809 $11K
D1110 Prophylaxis - adult 10% 180 168 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent 7.0% 113 69 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.1% 63 25 $4K
D1351 Sealant - per tooth 4.6% 207 52 $3K
D0330 Panoramic radiographic image 4.4% 91 90 $3K
D0274 Bitewings - four radiographic images 2.3% 74 74 $2K
D1208 Topical application of fluoride, excluding varnish 1.6% 72 71 $1K
D0272 Bitewings - two radiographic images 1.4% 64 64 $1K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 1.2% 43 41 $871.25
2 more codes
D0220 Intraoral - periapical first radiographic image 1.2% 91 $828.36
D0230 Intraoral - periapical each additional radiographic image <1% 83 $561.60

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.