Dental
Perry, Calley
Perry, Calley was paid $305K by Medicaid between Oct 2020 and Nov 2021, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 28% of everything it billed.
33Billing provider infoPERRY, CALLEY
DRY RIDGE, KY 41035
DRY RIDGE, KY 41035
33aNPI1639192289assigned 07/25/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$305K
24GClaims8,257
24DCodes billed17
24AFirst – last monthOct 2020 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#129 of 462
Median peer was paid$106K
This provider vs. median2.9×
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 | 1,346 | $53K | |
| 2021 | 6,911 | $252K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 28% | 1,170 | 284 | $87K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 499 | 100 | $31K |
| D1206 | Topical application of fluoride varnish | 9.1% | 1,297 | 1,282 | $28K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 8.7% | 320 | 163 | $26K |
| D1110 | Prophylaxis - adult | 8.7% | 621 | 613 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 722 | 717 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 734 | 730 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 605 | 597 | $17K |
| D0330 | Panoramic radiographic image | 4.4% | 293 | 290 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 912 | 442 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 561 | 547 | $7K |
| D2335 | 2.0% | 67 | 26 | $6K |
5 more codes
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.