Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Statesville › NPI 1841757507
Dental

Hammock, DMD & Lotakis, DDS V, PLLC

Hammock, DMD & Lotakis, DDS V, PLLC was paid $1.10M by Medicaid between May 2019 and Dec 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.

33Billing provider infoHAMMOCK, DMD & LOTAKIS, DDS V, PLLC
STATESVILLE, NC 28677
33aNPI1841757507assigned 02/28/2019
33bProvider typeDentist
28Total paid$1.10M
24GClaims29,501
24DCodes billed20
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers

Next to other Dentist providers in North Carolina

Rank by total paid#78 of 402
Median peer was paid$154K
This provider vs. median7.2×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20193,630$109K
20205,081$204K
20215,423$209K
20224,734$165K
20235,446$205K
2024incomplete5,187$210K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 17% 1,746 960 $190K
D1110 Prophylaxis - adult 8.4% 2,369 2,345 $93K
D0274 Bitewings - four radiographic images 7.6% 2,569 2,527 $84K
D7140 Extraction, erupted tooth or exposed root 7.6% 1,291 475 $83K
D0330 Panoramic radiographic image 7.4% 1,416 1,380 $82K
D4355 7.4% 1,191 1,169 $82K
D0230 Intraoral - periapical each additional radiographic image 6.4% 6,016 2,856 $71K
D0150 Comprehensive oral evaluation - new or established patient 6.4% 1,616 1,578 $70K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.8% 2,519 2,509 $64K
D0220 Intraoral - periapical first radiographic image 5.5% 4,033 3,793 $61K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 4.4% 453 231 $49K
D0140 Limited oral evaluation - problem focused 4.3% 1,370 1,314 $48K
8 more codes
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.1% 548 $46K
D1206 Topical application of fluoride varnish 2.9% 1,921 $31K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2.6% 222 $29K
D2335 <1% 66 $9K
D2332 <1% 59 $6K
D4341 <1% 32 $3K
D1120 Dental cleaning, child <1% 39 $1K
D0272 Bitewings - two radiographic images <1% 25 $483.75

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 officialWALSH, SIMONE (VP - ACCOUNTS)
Same official

Other billing entities under WALSH, SIMONE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.