Dental
Park, Hailey
Park, Hailey was paid $133K by Medicaid between Aug 2022 and Mar 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoPARK, HAILEY
ATLANTA, GA 30329
ATLANTA, GA 30329
33aNPI1144854571assigned 02/25/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$133K
24GClaims5,118
24DCodes billed13
24AFirst – last monthAug 2022 – Mar 2024
Compared with peers
Next to other General Practice Dentistry providers in Georgia
Rank by total paid#21 of 63
Median peer was paid$30K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2022 | 1,912 | $54K | |
| 2023 | 2,874 | $73K | |
| 2024incomplete | 332 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 857 | 855 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 323 | 215 | $22K |
| D1206 | Topical application of fluoride varnish | 16% | 699 | 697 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 809 | 807 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 5.1% | 158 | 158 | $7K |
| D0274 | Bitewings - four radiographic images | 4.7% | 582 | 579 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 96 | 60 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 738 | 733 | $3K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 86 | 86 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 618 | 611 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 110 | 108 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 28 | 24 | $2K |
1 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 14 | $300.00 |
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.