Haines, James

Haines, James was paid $100K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.

33Billing provider infoHAINES, JAMES
CLARE, MI 48617

33aNPI1942399712assigned 10/12/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$100K

24GClaims3,601

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#362 of 1,554

Median peer was paid$15K

This provider vs. median6.9×

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	869	$26K
2019	661	$18K
2020	355	$9K
2021	543	$14K
2022	509	$14K
2023	425	$12K
2024incomplete	239	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	1,427	1,426	$35K
D1120	Dental cleaning, childProphylaxis - child	27%	756	755	$27K
D1208	Topical application of fluoride, excluding varnish	23%	1,070	1,068	$23K
D1110	Prophylaxis - adult	12%	242	242	$12K
D0274	Bitewings - four radiographic images	2.3%	70	70	$2K
D1351	Sealant - per tooth	<1%	36	13	$759.16

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.