Dental
James, Whitney
James, Whitney was paid $994K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 18% of everything it billed.
33Billing provider infoJAMES, WHITNEY
MADISONVILLE, KY 42431
MADISONVILLE, KY 42431
33aNPI1952822827assigned 06/30/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$994K
24GClaims43,557
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#32 of 462
Median peer was paid$106K
This provider vs. median9.4×
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 | 7,717 | $170K | |
| 2019 | 11,326 | $211K | |
| 2020 | 8,170 | $140K | |
| 2021 | 8,600 | $189K | |
| 2022 | 3,401 | $65K | |
| 2023 | 1,713 | $74K | |
| 2024incomplete | 2,630 | $144K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 18% | 3,503 | 1,339 | $176K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 5,149 | 4,995 | $131K |
| D1110 | Prophylaxis - adult | 11% | 2,648 | 2,557 | $104K |
| D0330 | Panoramic radiographic image | 8.6% | 2,591 | 2,506 | $86K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.4% | 1,426 | 1,044 | $73K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 1,812 | 1,761 | $71K |
| D0274 | Bitewings - four radiographic images | 5.3% | 2,640 | 2,551 | $53K |
| D0210 | Intraoral - complete series of radiographic images | 5.3% | 832 | 821 | $53K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 1,256 | 893 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 5,286 | 4,987 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 1,942 | 1,880 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.2% | 1,212 | 1,177 | $22K |
16 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 6,262 | $22K |
| D0272 | Bitewings - two radiographic images | 2.0% | 1,411 | $20K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 676 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 192 | $11K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 91 | $10K |
| D1351 | Sealant - per tooth | <1% | 540 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 595 | $8K |
| D2335 | <1% | 110 | $8K | |
| D2332 | <1% | 108 | $7K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 112 | $3K |
| D0191 | <1% | 66 | $916.30 | |
| D0350 | 0% | 164 | $0.00 | |
| D0601 | 0% | 425 | $0.00 | |
| D0602 | 0% | 481 | $0.00 | |
| D0603 | 0% | 1,946 | $0.00 | |
| D9995 | 0% | 81 | $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.