Dental
Gratz, Kirstina
Gratz, Kirstina was paid $1K by Medicaid between Sep 2020 and Jul 2021, across 6 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 38% of everything it billed.
33Billing provider infoGRATZ, KIRSTINA
GOSHEN, IN 46528
GOSHEN, IN 46528
33aNPI1083992689assigned 07/30/2011
33bProvider typeDentist
28Total paid$1K
24GClaims121
24DCodes billed6
24AFirst – last monthSep 2020 – Jul 2021
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#386 of 452
Median peer was paid$59K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 107 | $937.73 | |
| 2021 | 14 | $313.46 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 38% | 28 | 28 | $470.19 |
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 17 | 17 | $310.50 |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 15 | 14 | $248.50 |
| D0240 | 18% | 25 | 13 | $222.00 | |
| D1330 | 0% | 18 | 18 | $0.00 | |
| D1310 | 0% | 18 | 18 | $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.