Forche, Amanda

Forche, Amanda was paid $8K by Medicaid between Apr 2018 and Dec 2021, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 41% of everything it billed.

33Billing provider infoFORCHE, AMANDA
JACKSON, OH 45640

33aNPI1780029520assigned 05/07/2013

33bProvider typeDentist

28Total paid$8K

24GClaims345

24DCodes billed6

24AFirst – last monthApr 2018 – Dec 2021

Compared with peers

Next to other Dentist providers in Ohio

Rank by total paid#518 of 745

Median peer was paid$38K

This provider vs. median0.2×

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	31	$1K
2019	12	$215.16
2020	143	$3K
2021	159	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	41%	192	192	$3K
D1110	Prophylaxis - adult	36%	83	83	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	12%	18	12	$967.86
D1206	Topical application of fluoride varnish	5.1%	27	27	$425.25
D0274	Bitewings - four radiographic images	3.3%	13	13	$273.00
D1120	Dental cleaning, childProphylaxis - child	3.0%	12	12	$252.00

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.