Forkan, Cody

Forkan, Cody was paid $3K by Medicaid between Oct 2023 and Jun 2024, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 75% of everything it billed.

33Billing provider infoFORKAN, CODY
BUTTE, MT 59701

33aNPI1699459453assigned 06/12/2023

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims82

24DCodes billed2

24AFirst – last monthOct 2023 – Jun 2024

Compared with peers

Next to other General Practice Dentistry providers in Montana

Rank by total paid#119 of 149

Median peer was paid$40K

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
2023	35	$830.28
2024incomplete	47	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	75%	53	41	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	29	26	$632.19

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.