Dental
Bertz, Wayne
Bertz, Wayne was paid $63K by Medicaid between Jan 2018 and Jul 2020, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoBERTZ, WAYNE
SALEM, MO 65560
SALEM, MO 65560
33aNPI1245372051assigned 02/12/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$63K
24GClaims3,032
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#145 of 260
Median peer was paid$78K
This provider vs. median0.8×
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 | 1,412 | $33K | |
| 2019 | 1,197 | $23K | |
| 2020 | 423 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 597 | 590 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 549 | 547 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 296 | 292 | $11K |
| D1206 | Topical application of fluoride varnish | 13% | 663 | 661 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 13% | 175 | 93 | $8K |
| D1110 | Prophylaxis - adult | 7.3% | 168 | 167 | $5K |
| D0272 | Bitewings - two radiographic images | 7.2% | 338 | 335 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 203 | 186 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 43 | 40 | $972.20 |
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.