Selberg, Tieg

Selberg, Tieg was paid $9K by Medicaid between Feb 2018 and Aug 2021, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.

33Billing provider infoSELBERG, TIEG
GLEN CARBON, IL 62034

33aNPI1831489954assigned 04/11/2011

33bProvider typePediatric Dentist

28Total paid$9K

24GClaims445

24DCodes billed8

24AFirst – last monthFeb 2018 – Aug 2021

Compared with peers

Next to other Pediatric Dentist providers in Illinois

Rank by total paid#42 of 53

Median peer was paid$99K

This provider vs. median0.1×

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	418	$8K
2021	27	$568.35

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	27%	85	84	$2K
D0150	Comprehensive oral evaluation - new or established patient	22%	77	64	$2K
D1208	Topical application of fluoride, excluding varnish	16%	85	84	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	11%	51	51	$1K
D0220	Intraoral - periapical first radiographic image	7.1%	56	54	$637.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.0%	31	30	$630.00
D0230	Intraoral - periapical each additional radiographic image	5.3%	48	45	$480.00
D0274	Bitewings - four radiographic images	3.9%	12	12	$348.00

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.