Dental
Lipaj, James
Lipaj, James was paid $26K by Medicaid between Jan 2018 and Feb 2020, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.
33Billing provider infoLIPAJ, JAMES
DOYLESTOWN, OH 44230
DOYLESTOWN, OH 44230
33aNPI1851424840assigned 03/13/2007
33bProvider typeDentist
28Total paid$26K
24GClaims1,232
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#414 of 745
Median peer was paid$38K
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
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 | 935 | $20K | |
| 2019 | 147 | $3K | |
| 2020 | 150 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 42% | 341 | 326 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 467 | 458 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 9.9% | 166 | 164 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.8% | 86 | 86 | $2K |
| D0272 | Bitewings - two radiographic images | 4.4% | 110 | 110 | $1K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.3% | 17 | 12 | $864.97 |
| D0274 | Bitewings - four radiographic images | 3.2% | 45 | 43 | $819.00 |
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.