Dental
James R. Forshey, DMD, PA
James R. Forshey, DMD, PA was paid $174K by Medicaid between Jan 2018 and Apr 2024, across 10 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 24% of everything it billed.
33Billing provider infoJAMES R. FORSHEY, DMD, PA
NEW CASTLE, DE 19720
NEW CASTLE, DE 19720
33aNPI1912062662assigned 12/23/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$174K
24GClaims4,402
24DCodes billed10
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Delaware
Rank by total paid#23 of 78
Median peer was paid$35K
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2018 | 1,622 | $68K | |
| 2019 | 1,261 | $52K | |
| 2020 | 655 | $26K | |
| 2021 | 313 | $10K | |
| 2022 | 301 | $10K | |
| 2023 | 222 | $7K | |
| 2024incomplete | 28 | $988.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 24% | 1,274 | 1,243 | $42K |
| D1110 | Prophylaxis - adult | 21% | 512 | 495 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 605 | 594 | $25K |
| D0274 | Bitewings - four radiographic images | 14% | 480 | 465 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 326 | 323 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.1% | 179 | 172 | $12K |
| D1351 | Sealant - per tooth | 4.7% | 161 | 27 | $8K |
| D0330 | Panoramic radiographic image | 3.7% | 78 | 71 | $6K |
| D0601 | 0% | 762 | 738 | $0.00 | |
| D0602 | 0% | 25 | 24 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialFORSHEY, JAMES (PRESIDENT)