Dental
Martin, Gerald
Martin, Gerald was paid $30K by Medicaid between Jan 2018 and Nov 2018, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.
33Billing provider infoMARTIN, GERALD
SHELBYVILLE, TN 37160
SHELBYVILLE, TN 37160
33aNPI1881685725assigned 10/31/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$30K
24GClaims1,148
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#238 of 336
Median peer was paid$123K
This provider vs. median0.2×
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 | 1,148 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 352 | 351 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 23% | 347 | 342 | $7K |
| D1110 | Prophylaxis - adult | 21% | 149 | 149 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 156 | 155 | $5K |
| D0274 | Bitewings - four radiographic images | 8.9% | 98 | 98 | $3K |
| D0272 | Bitewings - two radiographic images | 2.8% | 46 | 46 | $851.92 |
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.