Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Horizon Health Care INC

Horizon Health Care INC was paid $347K by Medicaid between Jan 2018 and Jun 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 70% of everything it billed.

33Billing provider infoHORIZON HEALTH CARE INC
DESMET, SD 57231
33aNPI1912011941assigned 08/18/2006
33bProvider typeDental Clinic/Center
28Total paid$347K
24GClaims6,224
24DCodes billed12
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Dental Clinic/Center providers in South Dakota

Rank by total paid#6 of 54
Median peer was paid$30K
This provider vs. median12×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MENGENHAUSEN, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
20181,006$28K
2019181$14K
2021427$29K
20221,996$128K
20232,036$107K
2024incomplete578$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 70% 1,577 1,531 $243K
D0150 Comprehensive oral evaluation - new or established patient 9.0% 253 253 $31K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.2% 253 163 $18K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.4% 140 89 $12K
D1110 Prophylaxis - adult 2.4% 899 877 $8K
D1206 Topical application of fluoride varnish 2.0% 1,305 1,265 $7K
D0140 Limited oral evaluation - problem focused 1.8% 60 59 $6K
D0220 Intraoral - periapical first radiographic image 1.7% 112 112 $6K
D7140 Extraction, erupted tooth or exposed root 1.5% 135 65 $5K
D1120 Dental cleaning, childProphylaxis - child 1.4% 889 860 $5K
D0274 Bitewings - four radiographic images <1% 403 390 $3K
D0272 Bitewings - two radiographic images <1% 198 185 $3K

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 officialMENGENHAUSEN, JOHN (CEO)
Same official

Other billing entities under MENGENHAUSEN, JOHN

Full network →
ProviderLocationPaid
Horizon Health Care, INCMission, SD$9.68M
Horizon Health Care INC.Martin, SD$3.32M
Horizon Health Care INCHuron, SD$3.21M
Horizon Health Care INCEagle Butte, SD$2.31M
Horizon Health Care, INCWhite River, SD$1.19M
Horizon Health Care INCHoward, SD$1.13M
Horizon Health Care INCPlankinton, SD$914K
Horizon Health Care INCFort Thompson, SD$706K
Horizon Health Care INCYankton, SD$507K
Horizon Health Care INCElk Point, SD$437K
Horizon Health Care INCDe Smet, SD$380K
Horizon Health Care INCHoward, SD$327K
Horizon Health Care INCWessington Springs, SD$323K
Horizon Health Care INCAberdeen, SD$185K
Horizon Health Care INCWessington Springs, SD$176K
Horizon Health Care INCFaith, SD$154K
Horizon Health Care INCAlcester, SD$133K
Horizon Health Care INCHoward, SD$99K
Horizon Health Care INCWoonsocket, SD$71K
Horizon Health Care INCYankton, SD$51K

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