Samuel Hayatt DMD, INC.

Samuel Hayatt DMD, INC. was paid $2K by Medicaid between Jan 2018 and Feb 2019, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoSAMUEL HAYATT DMD, INC.
EL CAJON, CA 92019

33aNPI1407273139assigned 03/19/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims101

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,429 of 2,668

Median peer was paid$173K

This provider vs. median0.0×

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	43	$666.00
2019	58	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	27	27	$810.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	16	16	$720.00
D1206	Topical application of fluoride varnish	18%	45	45	$392.00
D0274	Bitewings - four radiographic images	13%	13	13	$280.80

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 officialMARTINEZ, MAYRA (PRACTICE MANAGER)