Dental
James V. Wyllie, DDS P.C.
James V. Wyllie, DDS P.C. was paid $1.80M by Medicaid between Jan 2018 and Sep 2023, across 21 billing codes. Its largest line is D1351, Sealant - per tooth — 16% of everything it billed.
33Billing provider infoJAMES V. WYLLIE, DDS P.C.
NEWPORT, VT 05855
NEWPORT, VT 05855
33aNPI1760695597assigned 05/08/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.80M
24GClaims55,574
24DCodes billed21
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other General Practice Dentistry providers in Vermont
Rank by total paid#3 of 88
Median peer was paid$57K
This provider vs. median32×
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 | 10,720 | $323K | |
| 2019 | 10,684 | $305K | |
| 2020 | 5,513 | $158K | |
| 2021 | 9,094 | $311K | |
| 2022 | 9,921 | $376K | |
| 2023 | 9,642 | $325K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 16% | 12,608 | 2,348 | $292K |
| D1110 | Prophylaxis - adult | 13% | 5,174 | 5,019 | $243K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 5,610 | 5,441 | $188K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.6% | 6,991 | 6,808 | $172K |
| D1206 | Topical application of fluoride varnish | 9.5% | 9,369 | 9,066 | $170K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.1% | 1,317 | 838 | $164K |
| D0330 | Panoramic radiographic image | 6.8% | 2,107 | 1,996 | $122K |
| D9920 | 6.5% | 2,374 | 2,279 | $116K | |
| D0274 | Bitewings - four radiographic images | 3.7% | 2,288 | 2,194 | $67K |
| D0272 | Bitewings - two radiographic images | 3.5% | 2,711 | 2,641 | $63K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 688 | 469 | $56K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.7% | 308 | 230 | $49K |
9 more codes
| D0140 | Limited oral evaluation - problem focused | 1.6% | 746 | $28K |
| D1354 | 1.2% | 1,534 | $21K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 735 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 275 | $11K |
| D1330 | <1% | 539 | $11K | |
| D2940 | <1% | 139 | $8K | |
| D4355 | <1% | 27 | $2K | |
| D2331 | <1% | 20 | $2K | |
| D1999 | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialWYLLIE, JAMES (OWNER)