Herzog, Mark

Herzog, Mark was paid $368K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is D1351, Sealant - per tooth — 22% of everything it billed.

33Billing provider infoHERZOG, MARK
ELLSWORTH, KS 67439

33aNPI1275595290assigned 04/05/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$368K

24GClaims12,153

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Kansas

Rank by total paid#34 of 203

Median peer was paid$40K

This provider vs. median9.2×

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	323	$7K
2019	699	$16K
2020	2,212	$60K
2021	2,338	$68K
2022	2,268	$70K
2023	2,458	$85K
2024incomplete	1,855	$61K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	22%	3,528	677	$83K
D1110	Prophylaxis - adult	18%	1,707	1,607	$67K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	2,585	2,454	$56K
D1120	Dental cleaning, childProphylaxis - child	13%	1,659	1,579	$49K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	11%	566	314	$41K
D0272	Bitewings - two radiographic images	5.1%	914	864	$19K
D0150	Comprehensive oral evaluation - new or established patient	4.9%	628	585	$18K
D0210	Intraoral - complete series of radiographic images	3.4%	215	206	$12K
D7140	Extraction, erupted tooth or exposed root	3.3%	182	106	$12K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.6%	125	86	$9K
D0330	Panoramic radiographic image	<1%	16	16	$906.30
D0220	Intraoral - periapical first radiographic image	<1%	28	25	$329.76

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.