Dental
Herberger, Gary
Herberger, Gary was paid $260K by Medicaid between Mar 2018 and Oct 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoHERBERGER, GARY
CANTON, IL 61520
CANTON, IL 61520
33aNPI1457433179assigned 10/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$260K
24GClaims9,280
24DCodes billed16
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#383 of 1,017
Median peer was paid$123K
This provider vs. median2.1×
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 | 4,112 | $109K | |
| 2019 | 2,795 | $73K | |
| 2020 | 678 | $19K | |
| 2022 | 642 | $23K | |
| 2023 | 588 | $19K | |
| 2024incomplete | 465 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 1,946 | 1,855 | $78K |
| D1351 | Sealant - per tooth | 25% | 1,382 | 669 | $64K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 2,276 | 2,161 | $61K |
| D1206 | Topical application of fluoride varnish | 18% | 1,851 | 1,776 | $47K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 146 | 130 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 138 | 125 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 43 | 32 | $2K |
| D2140 | <1% | 25 | 18 | $740.40 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 18 | 17 | $468.00 |
| D0330 | Panoramic radiographic image | <1% | 18 | 16 | $406.80 |
| D0272 | Bitewings - two radiographic images | <1% | 35 | 33 | $329.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 15 | 13 | $315.75 |
4 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.