Dental
Nelke, Mark
Nelke, Mark was paid $47K by Medicaid between Jan 2018 and May 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 55% of everything it billed.
33Billing provider infoNELKE, MARK
BLAIRSTOWN, NJ 07825
BLAIRSTOWN, NJ 07825
33aNPI1053515114assigned 06/13/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$47K
24GClaims1,532
24DCodes billed9
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#385 of 790
Median peer was paid$43K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2018 | 395 | $12K | |
| 2019 | 260 | $8K | |
| 2020 | 209 | $5K | |
| 2021 | 479 | $16K | |
| 2022 | 189 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 55% | 581 | 577 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 560 | 558 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 5.6% | 59 | 58 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 93 | 92 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.4% | 25 | 25 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 148 | 148 | $735.00 |
| D0274 | Bitewings - four radiographic images | <1% | 25 | 25 | $307.20 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | 12 | $270.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 29 | 29 | $93.00 |
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.