Dental
Glesne, Mark
Glesne, Mark was paid $129K by Medicaid between Apr 2018 and Sep 2019, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoGLESNE, MARK
PEKIN, IL 61554
PEKIN, IL 61554
33aNPI1881782738assigned 10/10/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$129K
24GClaims4,172
24DCodes billed12
24AFirst – last monthApr 2018 – Sep 2019
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#498 of 1,017
Median peer was paid$123K
This provider vs. median1.0×
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 | 1,819 | $53K | |
| 2019 | 2,353 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 918 | 819 | $36K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 958 | 859 | $25K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 17% | 436 | 319 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 907 | 808 | $22K |
| D0274 | Bitewings - four radiographic images | 4.8% | 380 | 329 | $6K |
| D2140 | 4.5% | 178 | 138 | $6K | |
| D2160 | 2.4% | 54 | 36 | $3K | |
| D1351 | Sealant - per tooth | 2.1% | 51 | 20 | $3K |
| D1110 | Prophylaxis - adult | 1.8% | 60 | 45 | $2K |
| D0330 | Panoramic radiographic image | 1.2% | 90 | 71 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 106 | 95 | $968.20 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 34 | 31 | $715.70 |
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.