Dental
Schmelzer, Jerald
Schmelzer, Jerald was paid $77K by Medicaid between Jan 2018 and Oct 2020, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoSCHMELZER, JERALD
MARION, OH 43302
MARION, OH 43302
33aNPI1861581571assigned 10/12/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$77K
24GClaims3,672
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#360 of 870
Median peer was paid$40K
This provider vs. median1.9×
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 | 1,720 | $35K | |
| 2019 | 1,335 | $28K | |
| 2020 | 617 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 970 | 905 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,048 | 990 | $17K |
| D0330 | Panoramic radiographic image | 8.3% | 159 | 137 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 247 | 226 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 8.0% | 443 | 409 | $6K |
| D0272 | Bitewings - two radiographic images | 7.0% | 553 | 533 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 219 | 206 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 33 | 26 | $592.75 |
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.