Dental
James F. Hegedus DDS, PC
James F. Hegedus DDS, PC was paid $102K by Medicaid between Jan 2018 and Feb 2020, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoJAMES F. HEGEDUS DDS, PC
MUSKEGON, MI 49444
MUSKEGON, MI 49444
33aNPI1124196183assigned 11/30/2006
33bProvider typeDentist
28Total paid$102K
24GClaims4,320
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#264 of 1,033
Median peer was paid$15K
This provider vs. median6.8×
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 | 2,199 | $55K | |
| 2019 | 1,830 | $41K | |
| 2020 | 291 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 1,087 | 1,086 | $23K |
| D1110 | Prophylaxis - adult | 20% | 532 | 531 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 610 | 607 | $20K |
| D1206 | Topical application of fluoride varnish | 10% | 496 | 495 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 7.8% | 639 | 631 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.3% | 69 | 43 | $7K |
| D0274 | Bitewings - four radiographic images | 5.7% | 220 | 220 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 567 | 553 | $4K |
| D0272 | Bitewings - two radiographic images | 1.7% | 88 | 88 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $518.00 |
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.
From NPPES
Who's on the registration
Authorized officialHEGEDUS, MARY BETH (ADMINISTRATOR)