Dental
Gerstenmaier, John
Gerstenmaier, John was paid $755K by Medicaid between Jan 2018 and Aug 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoGERSTENMAIER, JOHN
FAIRLAWN, OH 44333
FAIRLAWN, OH 44333
33aNPI1669454302assigned 11/17/2005
33bProvider typePediatric Dentist
28Total paid$755K
24GClaims36,657
24DCodes billed17
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatric Dentist providers in Ohio
Rank by total paid#38 of 144
Median peer was paid$140K
This provider vs. median5.4×
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 | 13,342 | $305K | |
| 2019 | 8,250 | $180K | |
| 2020 | 3,724 | $66K | |
| 2021 | 2,599 | $39K | |
| 2022 | 2,772 | $42K | |
| 2023 | 5,490 | $106K | |
| 2024incomplete | 480 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 6,033 | 5,865 | $112K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 6,109 | 5,940 | $96K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,812 | 1,399 | $92K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 860 | 467 | $83K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.0% | 1,401 | 1,046 | $68K |
| D1208 | Topical application of fluoride, excluding varnish | 6.4% | 3,488 | 3,391 | $49K |
| D7140 | Extraction, erupted tooth or exposed root | 6.0% | 854 | 573 | $45K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.9% | 733 | 483 | $44K |
| D1206 | Topical application of fluoride varnish | 5.6% | 3,049 | 2,984 | $42K |
| D0272 | Bitewings - two radiographic images | 4.1% | 3,312 | 3,218 | $31K |
| D1110 | Prophylaxis - adult | 3.5% | 891 | 864 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 708 | 697 | $18K |
5 more codes
| D0140 | Limited oral evaluation - problem focused | 2.2% | 943 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 3,345 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 3,070 | $15K |
| D2330 | <1% | 34 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | $975.00 |
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.