Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FORD, JERRY

NPI: 1487646022 · GENTRY, AR 72734 · General Practice Dentistry · NPI assigned 08/19/2005

Deactivated NPI · This NPI was deactivated on 03/23/2006. Reactivated 04/10/2006.
$5K
Total Medicaid Paid
196
Total Claims
193
Beneficiaries
4
Codes Billed
2018-03
First Month
2018-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 196 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 68 67 $2K
D1208 Topical application of fluoride, excluding varnish 67 66 $1K
D0272 Bitewings - two radiographic images 47 46 $1K
D1110 Prophylaxis - adult 14 14 $629.85