Dental
Herfort, Thomas
Herfort, Thomas was paid $537.00 by Medicaid between Apr 2019 and Aug 2019, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 51% of everything it billed.
33Billing provider infoHERFORT, THOMAS
IRONWOOD, MI 49938
IRONWOOD, MI 49938
33aNPI1376568089assigned 07/13/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$537.00
24GClaims24
24DCodes billed2
24AFirst – last monthApr 2019 – Aug 2019
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,405 of 1,554
Median peer was paid$15K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 24 | $537.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 51% | 12 | 12 | $274.00 |
| D1208 | Topical application of fluoride, excluding varnish | 49% | 12 | 12 | $263.00 |
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.