Dental
Oak Haven Dental
Oak Haven Dental was paid $2K by Medicaid between Sep 2018 and Oct 2018, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 55% of everything it billed.
33Billing provider infoOAK HAVEN DENTAL
RIVERTON, WY 82501
RIVERTON, WY 82501
33aNPI1477094852assigned 03/17/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims50
24DCodes billed3
24AFirst – last monthSep 2018 – Oct 2018
Compared with peers
Next to other General Practice Dentistry providers in Wyoming
Rank by total paid#45 of 64
Median peer was paid$6K
This provider vs. median0.2×
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 | 50 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 55% | 25 | 25 | $840.00 |
| D1206 | Topical application of fluoride varnish | 23% | 12 | 12 | $350.00 |
| D0274 | Bitewings - four radiographic images | 23% | 13 | 13 | $350.00 |
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 officialHAMMOND, JEFFERY (DENTIST/OWNER)