Clinic
Heritage Family Dental
Heritage Family Dental was paid $30K by Medicaid between Jan 2022 and Oct 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoHERITAGE FAMILY DENTAL
QUITMAN, MS 39355
QUITMAN, MS 39355
33aNPI1699358739assigned 05/05/2021
33bProvider typeDental Clinic/Center
28Total paid$30K
24GClaims1,126
24DCodes billed7
24AFirst – last monthJan 2022 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Mississippi
Rank by total paid#29 of 53
Median peer was paid$44K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 513 | $15K | |
| 2023 | 472 | $11K | |
| 2024incomplete | 141 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 357 | 323 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 254 | 231 | $7K |
| D1206 | Topical application of fluoride varnish | 23% | 338 | 307 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 57 | 53 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.8% | 34 | 30 | $823.88 |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 71 | 57 | $804.79 |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 15 | 12 | $524.47 |
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 officialMILLER, KELLY (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Richland Medical Center, INC. | Richland, MO | $3.43M |
| Richland Medical Center, INC. | Osage Beach, MO | $1.55M |
| Richland Medical Center, INC. | Eldon, MO | $371K |
| Richland Medical Center, INC. | Gravois Mills, MO | $208K |
| Richland Medical Center, INC. | Lake Ozark, MO | $163K |
| Dental Group of Wiggins | Wiggins, MS | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.