Dental
Earl B Hartzog DMD PA
Earl B Hartzog DMD PA was paid $2K by Medicaid between Aug 2019 and Jun 2021, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoEARL B HARTZOG DMD PA
ST MATTHEWS, SC 29135
ST MATTHEWS, SC 29135
33aNPI1548792617assigned 03/29/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims62
24DCodes billed5
24AFirst – last monthAug 2019 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#295 of 331
Median peer was paid$75K
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 | 12 | $259.00 | |
| 2020 | 26 | $704.73 | |
| 2021 | 24 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 12 | 12 | $601.40 |
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 14 | 14 | $563.60 |
| D0140 | Limited oral evaluation - problem focused | 21% | 12 | 12 | $406.50 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 12 | 12 | $259.00 |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 12 | 12 | $141.13 |
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 officialHARTZOG, EARL (OWNER)
Parent organizationEARL B HARTZOG DMD PA
| Provider | Location | Paid |
|---|---|---|
| Earl B Hartzog DMD PA | Denmark, SC | $343K |
| Earl B Hartzog DMD PA | Denmark, SC | $272K |
| Earl B Hartzog DMD PA | Bamberg, SC | $196K |
| Earl B Hartzog DMD PA | Orangeburg, SC | $103K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.