Dieterle, Marcia

Dieterle, Marcia was paid $127K by Medicaid between Feb 2018 and Nov 2021, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.

33Billing provider infoDIETERLE, MARCIA
KEYSER, WV 26726

33aNPI1922107598assigned 09/21/2006

33bProvider typeDentist

28Total paid$127K

24GClaims4,969

24DCodes billed14

24AFirst – last monthFeb 2018 – Nov 2021

Compared with peers

Next to other Dentist providers in West Virginia

Rank by total paid#45 of 112

Median peer was paid$60K

This provider vs. median2.1×

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	217	$5K
2019	143	$3K
2020	406	$10K
2021	4,203	$109K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	21%	757	753	$27K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	1,305	1,300	$26K
D1120	Dental cleaning, childProphylaxis - child	13%	472	472	$16K
D0274	Bitewings - four radiographic images	11%	531	530	$15K
D1206	Topical application of fluoride varnish	9.7%	685	685	$12K
D1351	Sealant - per tooth	5.7%	287	61	$7K
D0150	Comprehensive oral evaluation - new or established patient	3.9%	254	254	$5K
D0330	Panoramic radiographic image	3.8%	136	136	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.8%	78	53	$5K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	2.0%	39	29	$3K
D9110		1.8%	71	71	$2K
D0272	Bitewings - two radiographic images	1.4%	114	114	$2K

2 more codes

D1208	Topical application of fluoride, excluding varnish	1.3%	90	$2K
D0220	Intraoral - periapical first radiographic image	<1%	150	$1K

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.