Dental
Heart of Florida Health Center, INC
Heart of Florida Health Center, INC was paid $2.61M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoHEART OF FLORIDA HEALTH CENTER, INC
OCALA, FL 34471
OCALA, FL 34471
33aNPI1710923727assigned 06/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$2.61M
24GClaims201,199
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#5 of 568
Median peer was paid$24K
This provider vs. median108×
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 | 3,046 | $43K | |
| 2019 | 24,532 | $643K | |
| 2020 | 64,336 | $923K | |
| 2021 | 69,238 | $559K | |
| 2022 | 18,388 | $198K | |
| 2023 | 13,151 | $177K | |
| 2024incomplete | 8,508 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 41,553 | 32,723 | $823K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.0% | 8,835 | 7,009 | $235K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 3,355 | 2,861 | $190K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 3,059 | 2,827 | $184K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 3,683 | 3,659 | $164K |
| H1000 | Prenatal care, at-risk assessment | 5.1% | 6,007 | 3,296 | $134K |
| D1110 | Prophylaxis - adult | 4.9% | 1,860 | 1,846 | $128K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.8% | 20,337 | 7,782 | $73K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.8% | 15,094 | 5,702 | $73K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.7% | 482 | 318 | $70K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 926 | 813 | $59K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 830 | 670 | $52K |
100 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 972 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 888 | $41K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 504 | $29K |
| D1206 | Topical application of fluoride varnish | <1% | 4,561 | $21K |
| D1351 | Sealant - per tooth | <1% | 2,287 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,363 | $18K |
| D0603 | <1% | 3,199 | $17K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 418 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 509 | $16K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,143 | $16K |
| D0120 | Dental checkup, returning patient | <1% | 4,566 | $16K |
| 99381 | <1% | 357 | $15K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,533 | $13K |
| D0330 | Panoramic radiographic image | <1% | 451 | $12K |
| D0274 | Bitewings - four radiographic images | <1% | 1,939 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,322 | $11K |
| 99307 | <1% | 4,691 | $10K | |
| 0002A | <1% | 707 | $9K | |
| 0001A | <1% | 671 | $8K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 151 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 947 | $7K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 642 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 165 | $5K |
| 90837 | Psychotherapy session, about an hour | <1% | 99 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,654 | $5K |
| 99490 | Ccm add 20min | <1% | 1,069 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 2,855 | $4K |
| D1354 | <1% | 467 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 140 | $3K |
| D1330 | <1% | 5,756 | $3K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 136 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 35 | $3K |
| 99305 | <1% | 228 | $2K | |
| G0466 | Community health center visit, new patient | <1% | 497 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 744 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 135 | $2K |
| D1999 | <1% | 40 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $2K |
| 99401 | <1% | 4,159 | $2K | |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 72 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 445 | $1K |
| D0240 | <1% | 156 | $1K | |
| 81003 | <1% | 6,689 | $895.87 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 21 | $780.48 |
| 85018 | <1% | 4,932 | $774.39 | |
| 59430 | <1% | 62 | $671.91 | |
| D0602 | <1% | 30 | $411.00 | |
| 0031A | <1% | 28 | $240.00 | |
| 82962 | <1% | 1,449 | $189.94 | |
| 0003A | <1% | 95 | $160.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 65 | $142.88 |
| 99441 | <1% | 37 | $76.55 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $59.58 |
| 0011A | <1% | 24 | $50.82 | |
| 0012A | <1% | 28 | $28.39 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 175 | $15.54 |
| 99406 | <1% | 132 | $14.00 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 71 | $11.89 |
| 96127 | <1% | 225 | $11.02 | |
| 81025 | <1% | 46 | $10.00 | |
| 82043 | <1% | 51 | $5.84 | |
| 97802 | <1% | 3,832 | $5.45 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 12 | $2.00 |
| 92558 | <1% | 1,722 | $1.14 | |
| 99173 | <1% | 2,073 | $0.11 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 1,078 | $0.03 |
| G8482 | Influenza immunization administered or previously received | <1% | 1,694 | $0.02 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 902 | $0.01 |
| 1036F | 0% | 726 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,102 | $0.00 |
| 91301 | 0% | 46 | $0.00 | |
| 1170F | 0% | 83 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 463 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 107 | $0.00 |
| 3075F | 0% | 41 | $0.00 | |
| 3074F | 0% | 81 | $0.00 | |
| 90686 | 0% | 19 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 17 | $0.00 |
| 91303 | 0% | 28 | $0.00 | |
| 90674 | 0% | 66 | $0.00 | |
| D0601 | 0% | 25 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 889 | $0.00 |
| 99334 | 0% | 60 | $0.00 | |
| 1159F | 0% | 83 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 76 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 331 | $0.00 |
| D0460 | 0% | 12 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 199 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,563 | $0.00 |
| 3078F | 0% | 196 | $0.00 | |
| 91300 | 0% | 1,218 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 238 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 843 | $0.00 |
| 1160F | 0% | 83 | $0.00 | |
| 4004F | 0% | 230 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 53 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 14 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 57 | $0.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 18 | $0.00 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 25 | $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.
From NPPES
Who's on the registration
Authorized officialCLAY, MATTHEW (CEO)
| Provider | Location | Paid |
|---|---|---|
| Heart of Florida Health Center, INC | Ocala, FL | $3.06M |
| Heart of Florida Health Center-The Centers | Ocala, FL | $108K |
| Heart of Florida Health Center INC | Ocala, FL | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.