Cook, Jerry

Cook, Jerry was paid $35K by Medicaid between Jan 2018 and Mar 2020, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.

33Billing provider infoCOOK, JERRY
WEST MEMPHIS, AR 72301

33aNPI1306935788assigned 10/12/2006

33bProvider typeDentist

28Total paid$35K

24GClaims1,407

24DCodes billed8

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Dentist providers in Arkansas

Rank by total paid#121 of 211

Median peer was paid$44K

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
2018	813	$17K
2019	508	$15K
2020	86	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	33%	290	233	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	450	355	$10K
D1208	Topical application of fluoride, excluding varnish	13%	286	208	$4K
D0272	Bitewings - two radiographic images	10.0%	205	169	$3K
D0140	Limited oral evaluation - problem focused	7.4%	99	82	$3K
D7140	Extraction, erupted tooth or exposed root	6.0%	31	12	$2K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.9%	32	24	$665.00
D0220	Intraoral - periapical first radiographic image	<1%	14	14	$252.70

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.