Dental
Hackmyer, Steven
Hackmyer, Steven was paid $128.00 by Medicaid between Jan 2018 and Jul 2021, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoHACKMYER, STEVEN
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
33aNPI1548336597assigned 11/28/2006
33bProvider typePediatric Dentist
28Total paid$128.00
24GClaims9,174
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#192 of 223
Median peer was paid$24K
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 | 7,053 | $128.00 | |
| 2019 | 1,763 | $0.00 | |
| 2021 | 358 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 1,223 | 1,158 | $34.00 |
| D1206 | Topical application of fluoride varnish | 23% | 1,337 | 1,232 | $30.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 304 | 274 | $28.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,054 | 962 | $22.00 |
| D0272 | Bitewings - two radiographic images | 11% | 959 | 876 | $14.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 55 | 55 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 871 | 439 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 231 | 110 | $0.00 |
| D1330 | 0% | 1,447 | 1,275 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 14 | 12 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 32 | 14 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 207 | 47 | $0.00 |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | 0% | 616 | $0.00 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 28 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 202 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 73 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 292 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 24 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 67 | $0.00 |
| D0350 | 0% | 138 | $0.00 |
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.