PERRY DENTAL GROUP
NPI: 1275549032
· PERRY, OK 73077
· Dentist
· NPI assigned 08/01/2006
$113K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
921 |
$21K |
| 2019 |
510 |
$12K |
| 2020 |
193 |
$5K |
| 2021 |
632 |
$17K |
| 2022 |
730 |
$19K |
| 2023 |
702 |
$21K |
| 2024 |
676 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,722 |
1,678 |
$35K |
| D0274 |
Bitewings - four radiographic images |
806 |
784 |
$24K |
| D1110 |
Prophylaxis - adult |
426 |
406 |
$19K |
| D1120 |
Prophylaxis - child |
561 |
549 |
$16K |
| D1208 |
Topical application of fluoride, excluding varnish |
611 |
594 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
121 |
119 |
$3K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
27 |
12 |
$3K |
| D1351 |
Sealant - per tooth |
60 |
13 |
$1K |
| D0330 |
Panoramic radiographic image |
30 |
27 |
$1K |