Ford, Jerry

Ford, Jerry was paid $5K by Medicaid between Mar 2018 and Jul 2018, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.

33Billing provider infoFORD, JERRY
GENTRY, AR 72734

33aNPI1487646022assigned 08/19/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims196

24DCodes billed4

24AFirst – last monthMar 2018 – Jul 2018

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#325 of 401

Median peer was paid$36K

This provider vs. median0.1×

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	196	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	37%	68	67	$2K
D1208	Topical application of fluoride, excluding varnish	27%	67	66	$1K
D0272	Bitewings - two radiographic images	22%	47	46	$1K
D1110	Prophylaxis - adult	13%	14	14	$629.85

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.