Dental
Hartlerode, Sarah
Hartlerode, Sarah was paid $7K by Medicaid between Nov 2021 and Mar 2022, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoHARTLERODE, SARAH
MILLINGTON, TN 38053
MILLINGTON, TN 38053
33aNPI1740890136assigned 07/31/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims289
24DCodes billed8
24AFirst – last monthNov 2021 – Mar 2022
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#291 of 336
Median peer was paid$123K
This provider vs. median0.1×
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 | 129 | $3K | |
| 2022 | 160 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 47 | 47 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 56 | 56 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 22% | 87 | 82 | $2K |
| D0274 | Bitewings - four radiographic images | 10% | 30 | 30 | $763.56 |
| D0330 | Panoramic radiographic image | 8.1% | 27 | 27 | $606.38 |
| D1120 | Dental cleaning, childProphylaxis - child | 5.9% | 12 | 12 | $438.81 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 18 | 14 | $341.60 |
| D0272 | Bitewings - two radiographic images | 2.0% | 12 | 12 | $148.24 |
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.