Dental
Hairston Family Dentistry
Hairston Family Dentistry was paid $1K by Medicaid between Oct 2019 and Oct 2019, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.
33Billing provider infoHAIRSTON FAMILY DENTISTRY
RAVENSWOOD, WV 26164
RAVENSWOOD, WV 26164
33aNPI1407397516assigned 03/09/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$1K
24GClaims46
24DCodes billed3
24AFirst – last monthOct 2019 – Oct 2019
Compared with peers
Next to other General Practice Dentistry providers in West Virginia
Rank by total paid#167 of 193
Median peer was paid$44K
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 | |
|---|---|---|---|
| 2019 | 46 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 39% | 14 | 14 | $560.00 |
| D0274 | Bitewings - four radiographic images | 36% | 14 | 14 | $518.00 |
| D1206 | Topical application of fluoride varnish | 25% | 18 | 18 | $360.00 |
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 officialHAIRSTON, LEAH (OWNER DENTIST)