Dental
Jeffrey S. Feltzer, DMD, P.C.
Jeffrey S. Feltzer, DMD, P.C. was paid $153K by Medicaid between Jan 2018 and Oct 2023, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoJEFFREY S. FELTZER, DMD, P.C.
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
33aNPI1194052183assigned 11/11/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$153K
24GClaims6,513
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#262 of 723
Median peer was paid$60K
This provider vs. median2.6×
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 | 761 | $7K | |
| 2019 | 825 | $12K | |
| 2020 | 2,244 | $38K | |
| 2021 | 918 | $35K | |
| 2023 | 1,765 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 977 | 773 | $37K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 363 | 287 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,108 | 888 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 448 | 382 | $17K |
| D0140 | Limited oral evaluation - problem focused | 9.6% | 502 | 401 | $15K |
| D0274 | Bitewings - four radiographic images | 9.2% | 658 | 506 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 914 | 708 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 62 | 30 | $5K |
| D1206 | Topical application of fluoride varnish | 3.2% | 271 | 243 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 483 | 287 | $3K |
| D0330 | Panoramic radiographic image | 1.2% | 117 | 82 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.0% | 45 | 45 | $2K |
2 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.
From NPPES
Who's on the registration
Authorized officialFELTZER, JEFFREY (PRESIDENT)