Dental
James L Gates, DDS, PC
James L Gates, DDS, PC was paid $1.62M by Medicaid between Jan 2018 and Sep 2024, across 24 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoJAMES L GATES, DDS, PC
MARION, VA 24354
MARION, VA 24354
33aNPI1851565196assigned 04/17/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$1.62M
24GClaims57,840
24DCodes billed24
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#20 of 549
Median peer was paid$29K
This provider vs. median55×
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 | 5,943 | $183K | |
| 2019 | 8,354 | $229K | |
| 2020 | 6,185 | $152K | |
| 2021 | 8,642 | $247K | |
| 2022 | 12,438 | $492K | |
| 2023 | 11,698 | $319K | |
| 2024incomplete | 4,580 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 7,806 | 7,575 | $308K |
| D7140 | Extraction, erupted tooth or exposed root | 18% | 5,963 | 1,813 | $286K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 10,415 | 10,193 | $175K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.1% | 4,418 | 4,360 | $131K |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 6,137 | 6,071 | $113K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 1,623 | 1,289 | $95K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 1,391 | 1,112 | $91K |
| D0274 | Bitewings - four radiographic images | 5.1% | 3,539 | 3,439 | $82K |
| D0330 | Panoramic radiographic image | 4.6% | 1,965 | 1,492 | $75K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 2,514 | 2,063 | $66K |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 869 | 752 | $36K |
| D9994 | 2.0% | 5,039 | 4,901 | $32K |
12 more codes
| D0140 | Limited oral evaluation - problem focused | 1.6% | 1,471 | $25K |
| D2332 | 1.5% | 230 | $25K | |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 2,781 | $21K |
| D1206 | Topical application of fluoride varnish | <1% | 718 | $13K |
| D1351 | Sealant - per tooth | <1% | 351 | $13K |
| D2330 | <1% | 152 | $12K | |
| D2331 | <1% | 116 | $10K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 91 | $9K |
| D0272 | Bitewings - two radiographic images | <1% | 124 | $2K |
| D3120 | <1% | 40 | $885.41 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 70 | $469.56 |
| D1999 | 0% | 17 | $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 officialGATES, JAMES (OWNER/OPERATOR)