Dental
John Herbert Gerstenmaier
John Herbert Gerstenmaier was paid $1.31M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.
33Billing provider infoJOHN HERBERT GERSTENMAIER
FAIRLAWN, OH 44333
FAIRLAWN, OH 44333
33aNPI1568636660assigned 04/18/2008
33bProvider typePediatric Dentist
28Total paid$1.31M
24GClaims53,970
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Ohio
Rank by total paid#27 of 144
Median peer was paid$140K
This provider vs. median9.4×
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 | 3,214 | $61K | |
| 2019 | 8,708 | $207K | |
| 2020 | 10,239 | $242K | |
| 2021 | 14,799 | $374K | |
| 2022 | 12,294 | $284K | |
| 2023 | 850 | $13K | |
| 2024incomplete | 3,866 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 1,866 | 897 | $184K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 8,816 | 8,522 | $180K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 8,334 | 8,056 | $146K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 2,593 | 2,008 | $140K |
| D1206 | Topical application of fluoride varnish | 9.0% | 7,404 | 7,167 | $119K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.8% | 2,240 | 1,704 | $115K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 7.8% | 1,696 | 906 | $103K |
| D7140 | Extraction, erupted tooth or exposed root | 6.5% | 1,510 | 1,007 | $85K |
| D0272 | Bitewings - two radiographic images | 3.6% | 4,644 | 4,511 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 1,360 | 1,326 | $37K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 1,651 | 1,589 | $37K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 2,033 | 1,946 | $29K |
8 more codes
| D1110 | Prophylaxis - adult | 2.0% | 863 | $27K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 4,505 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 4,119 | $21K |
| D2933 | <1% | 41 | $6K | |
| D2330 | <1% | 101 | $5K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 87 | $5K |
| D2140 | <1% | 76 | $3K | |
| D2331 | <1% | 31 | $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 officialGERSTENMAIER, JOHN (OWNER PRESIDENT)