Dental
Hart Family Dental
Hart Family Dental was paid $266K by Medicaid between Jan 2018 and Nov 2021, across 18 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 20% of everything it billed.
33Billing provider infoHART FAMILY DENTAL
YUCCA VALLEY, CA 92284
YUCCA VALLEY, CA 92284
33aNPI1780910604assigned 10/28/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$266K
24GClaims9,556
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,165 of 2,668
Median peer was paid$173K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2018 | 7,161 | $189K | |
| 2020 | 363 | $11K | |
| 2021 | 2,032 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 20% | 467 | 145 | $54K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 820 | 818 | $44K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 449 | 222 | $29K |
| D0210 | Intraoral - complete series of radiographic images | 9.8% | 597 | 595 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.8% | 339 | 154 | $18K |
| D1110 | Prophylaxis - adult | 6.3% | 265 | 264 | $17K |
| D4341 | 5.5% | 235 | 65 | $15K | |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 3,393 | 610 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 339 | 338 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 334 | 333 | $10K |
| D9430 | 2.6% | 221 | 209 | $7K | |
| D0350 | 2.5% | 776 | 330 | $7K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 539 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 542 | $5K |
| D2931 | <1% | 19 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 132 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | $2K |
| D1351 | Sealant - per tooth | <1% | 69 | $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 officialMANTHEY, CICI (OFFICE MANAGER)
Parent organizationHART FAMILY DENTAL