Haller, Charity
Haller, Charity was paid $38K by Medicaid between Mar 2021 and Jun 2021, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoHALLER, CHARITY
JAL, NM 88252
JAL, NM 88252
33aNPI1699323576assigned 09/03/2019
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$38K
24GClaims1,101
24DCodes billed11
24AFirst – last monthMar 2021 – Jun 2021
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New Mexico
Rank by total paid#4 of 14
Median peer was paid$11K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2021 | 1,101 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 154 | 154 | $6K |
| D1110 | Prophylaxis - adult | 16% | 117 | 117 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 88 | 57 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 167 | 167 | $5K |
| D0330 | Panoramic radiographic image | 9.3% | 98 | 98 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 114 | 114 | $3K |
| D0274 | Bitewings - four radiographic images | 7.9% | 109 | 109 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 6.6% | 192 | 192 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.6% | 14 | 14 | $2K |
| D1206 | Topical application of fluoride varnish | 2.5% | 35 | 35 | $969.00 |
| D0272 | Bitewings - two radiographic images | <1% | 13 | 13 | $209.95 |
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.