Dental
Fry, Stanley
Fry, Stanley was paid $407K by Medicaid between Oct 2020 and Dec 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoFRY, STANLEY
HEREFORD, TX 79045
HEREFORD, TX 79045
33aNPI1548289572assigned 07/19/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$407K
24GClaims18,203
24DCodes billed15
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#593 of 2,774
Median peer was paid$43K
This provider vs. median9.5×
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 | |
|---|---|---|---|
| 2020 | 696 | $13K | |
| 2021 | 5,488 | $130K | |
| 2022 | 4,974 | $118K | |
| 2023 | 3,958 | $88K | |
| 2024incomplete | 3,087 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 2,927 | 2,784 | $69K |
| D0145 | Oral evaluation for a patient under three years of age | 17% | 547 | 532 | $68K |
| D1351 | Sealant - per tooth | 15% | 2,739 | 476 | $60K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,941 | 1,841 | $58K |
| D1110 | Prophylaxis - adult | 11% | 1,052 | 994 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 9.0% | 3,071 | 2,913 | $37K |
| D0274 | Bitewings - four radiographic images | 8.9% | 1,478 | 1,403 | $36K |
| D0330 | Panoramic radiographic image | 3.8% | 295 | 283 | $16K |
| D0272 | Bitewings - two radiographic images | 2.3% | 488 | 438 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 45 | 26 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 50 | 41 | $4K |
| D8670 | Periodic orthodontic treatment visit | <1% | 26 | 25 | $325.35 |
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.