Dental
Fry, Douglas
Fry, Douglas was paid $636K by Medicaid between Jan 2018 and Jul 2018, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoFRY, DOUGLAS
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1811992027assigned 06/15/2005
33bProvider typePediatric Dentist
28Total paid$636K
24GClaims18,552
24DCodes billed23
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Pediatric Dentist providers in North Carolina
Rank by total paid#102 of 195
Median peer was paid$776K
This provider vs. median0.8×
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 | 18,552 | $636K |
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 | 15% | 1,079 | 619 | $95K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 670 | 270 | $80K |
| D1351 | Sealant - per tooth | 9.4% | 2,524 | 537 | $60K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 2,545 | 2,380 | $55K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 2,280 | 2,153 | $47K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.8% | 1,258 | 1,124 | $43K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.6% | 629 | 293 | $42K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 546 | 338 | $37K |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 2,778 | 2,594 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 658 | 593 | $23K |
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 343 | 208 | $19K |
| D0272 | Bitewings - two radiographic images | 2.7% | 1,209 | 1,122 | $17K |
11 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 125 | $14K |
| D9420 | 1.9% | 120 | $12K | |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 368 | $11K |
| D1510 | 1.7% | 131 | $11K | |
| D0330 | Panoramic radiographic image | 1.6% | 238 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 514 | $6K |
| D2330 | <1% | 101 | $6K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 37 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 335 | $4K |
| D1110 | Prophylaxis - adult | <1% | 49 | $2K |
| D2331 | <1% | 15 | $1K |
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.