Hines, Seth

Hines, Seth was paid $12K by Medicaid between Nov 2020 and Mar 2021, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.

33Billing provider infoHINES, SETH
ELIZABETH CITY, NC 27909

33aNPI1427579861assigned 07/06/2017

33bProvider typeDentist

28Total paid$12K

24GClaims453

24DCodes billed6

24AFirst – last monthNov 2020 – Mar 2021

Compared with peers

Next to other Dentist providers in North Carolina

Rank by total paid#293 of 402

Median peer was paid$154K

This provider vs. median0.1×

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
2020	175	$4K
2021	278	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	28%	99	92	$3K
D1208	Topical application of fluoride, excluding varnish	26%	147	137	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	133	123	$3K
D1110	Prophylaxis - adult	18%	44	41	$2K
D0150	Comprehensive oral evaluation - new or established patient	3.7%	14	14	$438.34
D0272	Bitewings - two radiographic images	2.8%	16	16	$322.40

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.