Pefley, Mark

Pefley, Mark was paid $57K by Medicaid between Jan 2018 and Jul 2023, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.

33Billing provider infoPEFLEY, MARK
ANDERSON, IN 46012

33aNPI1194804773assigned 11/03/2006

33bProvider typeDentist

28Total paid$57K

24GClaims2,794

24DCodes billed12

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#229 of 452

Median peer was paid$59K

This provider vs. median1.0×

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
2018	749	$5K
2019	756	$19K
2020	599	$11K
2021	242	$10K
2022	123	$4K
2023	325	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	47%	826	700	$27K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	802	659	$11K
D0274	Bitewings - four radiographic images	16%	397	333	$9K
D0150	Comprehensive oral evaluation - new or established patient	6.8%	147	120	$4K
D0210	Intraoral - complete series of radiographic images	3.2%	42	31	$2K
D0140	Limited oral evaluation - problem focused	2.7%	56	49	$2K
D0220	Intraoral - periapical first radiographic image	1.6%	104	87	$912.08
D0330	Panoramic radiographic image	1.4%	14	13	$797.50
D1208	Topical application of fluoride, excluding varnish	<1%	99	81	$492.58
D1120	Dental cleaning, childProphylaxis - child	<1%	36	29	$345.00
D0230	Intraoral - periapical each additional radiographic image	<1%	38	30	$318.60
D1999		0%	233	174	$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.