J R BERRY DDS PC
NPI: 1770811341
· FORREST CITY, AR 72335
· General Practice Dentistry
· NPI assigned 11/19/2009
$101K
Total Medicaid Paid
Provider Details
| Authorized Official | BERRY, JOHN (PRESIDENT) |
| NPI Enumeration Date | 11/19/2009 |
Related Entities
Other providers sharing the same authorized official: BERRY, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,517 |
$62K |
| 2019 |
400 |
$15K |
| 2020 |
218 |
$8K |
| 2021 |
115 |
$5K |
| 2022 |
171 |
$6K |
| 2023 |
99 |
$4K |
| 2024 |
55 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
375 |
278 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
1,132 |
923 |
$29K |
| D1110 |
Prophylaxis - adult |
427 |
312 |
$20K |
| D7140 |
Extraction, erupted tooth or exposed root |
183 |
54 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
301 |
216 |
$6K |
| D0272 |
Bitewings - two radiographic images |
119 |
86 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$410.40 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$397.10 |