Dental
Feltzer, Jeffrey
Feltzer, Jeffrey was paid $113K by Medicaid between Jan 2018 and Jan 2021, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoFELTZER, JEFFREY
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
33aNPI1386789162assigned 02/20/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$113K
24GClaims6,466
24DCodes billed15
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#295 of 723
Median peer was paid$60K
This provider vs. median1.9×
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
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 | 2,121 | $8K | |
| 2019 | 2,350 | $65K | |
| 2020 | 1,900 | $37K | |
| 2021 | 95 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 959 | 734 | $26K |
| D0274 | Bitewings - four radiographic images | 13% | 897 | 658 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,104 | 838 | $15K |
| D0140 | Limited oral evaluation - problem focused | 13% | 598 | 448 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 259 | 211 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 359 | 264 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 6.7% | 838 | 529 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 393 | 319 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 58 | 26 | $3K |
| D0330 | Panoramic radiographic image | 1.8% | 192 | 132 | $2K |
| D1206 | Topical application of fluoride varnish | 1.4% | 107 | 57 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 189 | 67 | $1K |
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.