Dental
Hendricks, Tarem
Hendricks, Tarem was paid $5K by Medicaid between Aug 2019 and Oct 2019, across 8 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 46% of everything it billed.
33Billing provider infoHENDRICKS, TAREM
WARNER ROBINS, GA 31088
WARNER ROBINS, GA 31088
33aNPI1093882136assigned 11/30/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims403
24DCodes billed8
24AFirst – last monthAug 2019 – Oct 2019
Compared with peers
Next to other General Practice Dentistry providers in Georgia
Rank by total paid#51 of 63
Median peer was paid$30K
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 | |
|---|---|---|---|
| 2019 | 403 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 46% | 84 | 84 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 16% | 50 | 49 | $737.32 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 15% | 74 | 74 | $688.50 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 12% | 45 | 45 | $560.00 |
| 99173 | 6.4% | 63 | 63 | $297.86 | |
| 92552 | 5.2% | 50 | 50 | $246.04 | |
| 90710 | 0% | 19 | 15 | $0.00 | |
| 90696 | 0% | 18 | 14 | $0.00 |
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.