Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Kirksville › NPI 1235115304
Dental

Herbst, Timothy

Herbst, Timothy was paid $967K by Medicaid between Jan 2018 and Jul 2020, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 38% of everything it billed.

33Billing provider infoHERBST, TIMOTHY
KIRKSVILLE, MO 63501
33aNPI1235115304assigned 12/20/2005
33bProvider typeDentist
28Total paid$967K
24GClaims13,500
24DCodes billed22
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#18 of 284
Median peer was paid$109K
This provider vs. median8.9×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20185,899$476K
20195,236$332K
20202,365$159K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 38% 1,875 359 $364K
D7140 Extraction, erupted tooth or exposed root 8.6% 829 403 $83K
D1206 Topical application of fluoride varnish 7.4% 2,103 2,080 $71K
D1120 Dental cleaning, childProphylaxis - child 6.5% 1,496 1,479 $63K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.2% 1,748 1,730 $60K
D2150 Silver amalgam - two surfaces, primary or permanent 4.8% 401 261 $47K
D0274 Bitewings - four radiographic images 4.4% 984 977 $43K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.5% 263 140 $34K
D1110 Prophylaxis - adult 3.4% 547 544 $33K
D9420 3.1% 328 325 $30K
D2140 2.7% 298 178 $26K
D0330 Panoramic radiographic image 2.6% 307 304 $25K
10 more codes
D0272 Bitewings - two radiographic images 2.4% 704 $23K
D0140 Limited oral evaluation - problem focused 1.5% 245 $15K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.5% 163 $14K
D0220 Intraoral - periapical first radiographic image 1.4% 679 $13K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 62 $7K
D0230 Intraoral - periapical each additional radiographic image <1% 312 $6K
D0150 Comprehensive oral evaluation - new or established patient <1% 84 $5K
D2160 <1% 12 $2K
D1351 Sealant - per tooth <1% 43 $2K
D0210 Intraoral - complete series of radiographic images <1% 17 $242.00

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.