Dental
Fortenberry, Susan
Fortenberry, Susan was paid $517K by Medicaid between Jan 2018 and Mar 2021, across 16 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 21% of everything it billed.
33Billing provider infoFORTENBERRY, SUSAN
JACKSON, MS 39209
JACKSON, MS 39209
33aNPI1083936132assigned 02/17/2010
33bProvider typePediatric Dentist
28Total paid$517K
24GClaims14,378
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#45 of 81
Median peer was paid$580K
This provider vs. median0.9×
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 | 7,039 | $233K | |
| 2019 | 3,781 | $125K | |
| 2020 | 2,985 | $134K | |
| 2021 | 573 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 21% | 1,162 | 965 | $108K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 943 | 444 | $71K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 2,725 | 2,264 | $66K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 2,187 | 1,683 | $62K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 592 | 315 | $58K |
| D1208 | Topical application of fluoride, excluding varnish | 5.5% | 2,116 | 1,735 | $29K |
| D0272 | Bitewings - two radiographic images | 4.7% | 1,398 | 1,198 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 928 | 853 | $23K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 918 | 661 | $21K |
| D0330 | Panoramic radiographic image | 3.0% | 373 | 358 | $15K |
| D1206 | Topical application of fluoride varnish | 2.6% | 584 | 566 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 141 | 62 | $11K |
4 more codes
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.