Dental
Perriman, Jordan
Perriman, Jordan was paid $65K by Medicaid between Sep 2019 and Jun 2020, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 11% of everything it billed.
33Billing provider infoPERRIMAN, JORDAN
GLADSTONE, MO 64118
GLADSTONE, MO 64118
33aNPI1255992889assigned 06/25/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$65K
24GClaims1,892
24DCodes billed14
24AFirst – last monthSep 2019 – Jun 2020
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#143 of 260
Median peer was paid$78K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2019 | 848 | $30K | |
| 2020 | 1,044 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 176 | 176 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 363 | 359 | $7K |
| D1206 | Topical application of fluoride varnish | 9.6% | 268 | 268 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.8% | 47 | 37 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 164 | 164 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 263 | 260 | $5K |
| D1110 | Prophylaxis - adult | 6.7% | 93 | 93 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 41 | 30 | $4K |
| D0272 | Bitewings - two radiographic images | 6.4% | 136 | 136 | $4K |
| D0330 | Panoramic radiographic image | 6.0% | 60 | 60 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 95 | 95 | $3K |
| D0140 | Limited oral evaluation - problem focused | 5.2% | 83 | 81 | $3K |
2 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.