Dental
Halversen, Mark
Halversen, Mark was paid $165K by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoHALVERSEN, MARK
DELAWARE, OH 43015
DELAWARE, OH 43015
33aNPI1336271402assigned 03/12/2007
33bProvider typeDentist
28Total paid$165K
24GClaims7,066
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#215 of 745
Median peer was paid$38K
This provider vs. median4.3×
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 | 1,672 | $22K | |
| 2019 | 1,524 | $21K | |
| 2020 | 342 | $5K | |
| 2021 | 12 | $60.00 | |
| 2022 | 86 | $530.00 | |
| 2023 | 212 | $3K | |
| 2024incomplete | 3,218 | $113K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 839 | 811 | $37K |
| D0274 | Bitewings - four radiographic images | 14% | 900 | 875 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 937 | 914 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 138 | 83 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 268 | 264 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 484 | 476 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 1,428 | 1,390 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 1,390 | 1,175 | $9K |
| D0330 | Panoramic radiographic image | 5.6% | 111 | 111 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 68 | 43 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 227 | 225 | $6K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 153 | 150 | $4K |
3 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.