Samuel Hayatt DMD INC.

Samuel Hayatt DMD INC. was paid $56K by Medicaid between Jan 2018 and May 2024, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 45% of everything it billed.

33Billing provider infoSAMUEL HAYATT DMD INC.
CHULA VISTA, CA 91915

33aNPI1851665871assigned 03/08/2012

33bProvider typeDentist

28Total paid$56K

24GClaims1,454

24DCodes billed9

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,532 of 2,314

Median peer was paid$185K

This provider vs. median0.3×

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	715	$25K
2019	496	$21K
2020	12	$792.00
2021	65	$3K
2022	45	$2K
2024incomplete	121	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	45%	441	440	$25K
D0210	Intraoral - complete series of radiographic images	32%	389	388	$18K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.1%	111	110	$5K
D1206	Topical application of fluoride varnish	6.2%	296	294	$3K
D1120	Dental cleaning, childProphylaxis - child	2.7%	51	51	$2K
D0274	Bitewings - four radiographic images	2.0%	52	52	$1K
D1320		1.3%	45	45	$730.00
D0350		1.2%	57	25	$652.80
D1110	Prophylaxis - adult	<1%	12	12	$480.00

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 officialHAYATT, SAMUEL (OWNER)