Dental
Perry, Benton
Perry, Benton was paid $2.37M by Medicaid between Jan 2018 and Mar 2021, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 27% of everything it billed.
33Billing provider infoPERRY, BENTON
YUKON, OK 73099
YUKON, OK 73099
33aNPI1023325198assigned 09/09/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$2.37M
24GClaims52,700
24DCodes billed23
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#30 of 284
Median peer was paid$172K
This provider vs. median14×
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 | 16,545 | $779K | |
| 2019 | 24,924 | $1.13M | |
| 2020 | 11,128 | $463K | |
| 2021 | 103 | $739.09 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 27% | 5,806 | 1,531 | $649K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 11% | 3,237 | 1,304 | $271K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 6,512 | 6,512 | $178K |
| D2932 | 6.2% | 1,069 | 371 | $147K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 1,727 | 862 | $143K |
| D7140 | Extraction, erupted tooth or exposed root | 5.9% | 2,302 | 1,131 | $140K |
| D3230 | 4.5% | 1,153 | 402 | $107K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.9% | 4,799 | 4,799 | $92K |
| D1206 | Topical application of fluoride varnish | 3.8% | 6,631 | 6,630 | $91K |
| D9248 | 3.7% | 688 | 674 | $87K | |
| D1351 | Sealant - per tooth | 3.3% | 3,583 | 1,050 | $79K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 1,252 | 728 | $69K |
11 more codes
| D0272 | Bitewings - two radiographic images | 2.3% | 3,333 | $55K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 2,006 | $50K |
| D9310 | 2.1% | 1,078 | $50K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 1,770 | $48K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 2,405 | $33K |
| D0330 | Panoramic radiographic image | 1.0% | 557 | $24K |
| D0140 | Limited oral evaluation - problem focused | <1% | 793 | $22K |
| D2330 | <1% | 235 | $13K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,544 | $11K |
| D1110 | Prophylaxis - adult | <1% | 206 | $9K |
| D0274 | Bitewings - four radiographic images | <1% | 14 | $366.00 |
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.