Dental
Pultz, Robert
Pultz, Robert was paid $17K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.
33Billing provider infoPULTZ, ROBERT
NIAGARA, WI 54151
NIAGARA, WI 54151
33aNPI1740403260assigned 04/11/2007
33bProvider typeDentist
28Total paid$17K
24GClaims978
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#109 of 185
Median peer was paid$28K
This provider vs. median0.6×
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 | 40 | $659.34 | |
| 2019 | 56 | $715.96 | |
| 2020 | 26 | $296.96 | |
| 2021 | 363 | $4K | |
| 2022 | 249 | $6K | |
| 2023 | 196 | $5K | |
| 2024incomplete | 48 | $787.56 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 46% | 614 | 512 | $8K |
| D0330 | Panoramic radiographic image | 26% | 100 | 86 | $4K |
| D1110 | Prophylaxis - adult | 19% | 116 | 103 | $3K |
| D0272 | Bitewings - two radiographic images | 8.8% | 148 | 120 | $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.