Dental
Wertz, Jacob
Wertz, Jacob was paid $84K by Medicaid between Apr 2018 and Feb 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 45% of everything it billed.
33Billing provider infoWERTZ, JACOB
ROCK FALLS, IL 61071
ROCK FALLS, IL 61071
33aNPI1164838579assigned 07/07/2014
33bProvider typeDentist
28Total paid$84K
24GClaims2,912
24DCodes billed16
24AFirst – last monthApr 2018 – Feb 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#666 of 1,099
Median peer was paid$160K
This provider vs. median0.5×
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 | 101 | $4K | |
| 2019 | 305 | $9K | |
| 2021 | 931 | $42K | |
| 2022 | 323 | $24K | |
| 2023 | 1,078 | $5K | |
| 2024incomplete | 174 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 45% | 649 | 613 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 27% | 630 | 559 | $23K |
| D1351 | Sealant - per tooth | 6.3% | 81 | 52 | $5K |
| D0140 | Limited oral evaluation - problem focused | 4.5% | 80 | 69 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 54 | 36 | $4K |
| D0274 | Bitewings - four radiographic images | 3.1% | 181 | 178 | $3K |
| D0330 | Panoramic radiographic image | 2.0% | 93 | 92 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.9% | 489 | 486 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 67 | 57 | $1K |
| D9110 | 1.7% | 20 | 13 | $1K | |
| D1206 | Topical application of fluoride varnish | 1.0% | 435 | 433 | $876.10 |
| D0272 | Bitewings - two radiographic images | <1% | 63 | 62 | $785.50 |
4 more codes
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.