Mark A.Herzog

Mark A.Herzog was paid $75K by Medicaid between Jan 2018 and Dec 2019, across 9 billing codes. Its largest line is D1351, Sealant - per tooth — 22% of everything it billed.

33Billing provider infoMARK A.HERZOG
ELLSWORTH, KS 67439

33aNPI1487992004assigned 01/17/2013

33bProvider typeDentist

28Total paid$75K

24GClaims2,754

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Dentist providers in Kansas

Rank by total paid#49 of 112

Median peer was paid$52K

This provider vs. median1.4×

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	2,209	$62K
2019	545	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	22%	697	139	$16K
D1110	Prophylaxis - adult	21%	486	453	$16K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	704	662	$14K
D1120	Dental cleaning, childProphylaxis - child	14%	390	375	$11K
D0210	Intraoral - complete series of radiographic images	6.7%	96	93	$5K
D0150	Comprehensive oral evaluation - new or established patient	5.9%	161	157	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.8%	64	37	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	3.5%	40	25	$3K
D0272	Bitewings - two radiographic images	2.7%	116	105	$2K

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.

From NPPES

Who's on the registration

Authorized officialHERZOG, MARK (PRESIDENT)