Hales Dental Practice, PC

Hales Dental Practice, PC was paid $147K by Medicaid between Oct 2019 and Nov 2024, across 13 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 37% of everything it billed.

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
2019	392	$5K
2020	1,732	$30K
2021	1,096	$17K
2022	2,351	$25K
2023	2,999	$42K
2024incomplete	2,303	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	37%	1,696	713	$55K
D1110	Prophylaxis - adult	17%	1,280	1,268	$26K
D0150	Comprehensive oral evaluation - new or established patient	9.7%	1,041	1,029	$14K
D0140	Limited oral evaluation - problem focused	9.7%	1,029	997	$14K
D0210	Intraoral - complete series of radiographic images	8.8%	815	806	$13K
D1208	Topical application of fluoride, excluding varnish	5.2%	916	906	$8K
D0220	Intraoral - periapical first radiographic image	5.2%	1,550	1,510	$8K
D0230	Intraoral - periapical each additional radiographic image	3.2%	1,471	928	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.6%	194	192	$2K
D0274	Bitewings - four radiographic images	<1%	120	119	$1K
D0603		<1%	236	236	$880.00
D0602		<1%	170	167	$676.00

1 more codes

D1330

0%

355

$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 officialHALES, JIM (DENTIST/OWNER)