Clinic
Hal S. Jeter, DDS, INC.
Hal S. Jeter, DDS, INC. was paid $236K by Medicaid between Mar 2018 and Nov 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoHAL S. JETER, DDS, INC.
SOUTH POINT, OH 45680
SOUTH POINT, OH 45680
33aNPI1710200589assigned 03/09/2010
33bProvider typeDental Clinic/Center
28Total paid$236K
24GClaims9,182
24DCodes billed19
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Ohio
Rank by total paid#55 of 111
Median peer was paid$236K
This provider vs. median1.0×
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 | 2,995 | $76K | |
| 2019 | 4,307 | $111K | |
| 2020 | 1,803 | $47K | |
| 2021 | 36 | $564.50 | |
| 2024incomplete | 41 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 986 | 540 | $50K |
| D7140 | Extraction, erupted tooth or exposed root | 18% | 790 | 382 | $42K |
| D1110 | Prophylaxis - adult | 11% | 830 | 796 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,615 | 1,539 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 962 | 934 | $17K |
| D1206 | Topical application of fluoride varnish | 7.2% | 1,289 | 1,249 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.2% | 313 | 183 | $15K |
| D0330 | Panoramic radiographic image | 3.3% | 206 | 198 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 306 | 296 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.9% | 92 | 50 | $4K |
| D0272 | Bitewings - two radiographic images | 1.8% | 488 | 468 | $4K |
| D0274 | Bitewings - four radiographic images | 1.8% | 257 | 246 | $4K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | 1.7% | 187 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.7% | 39 | $4K |
| D1351 | Sealant - per tooth | 1.2% | 141 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 32 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 344 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 278 | $1K |
| D2330 | <1% | 27 | $1K |
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 officialDUTY, KELSEY (OFFICE MANAGER)