Hathorn, Randy

Hathorn, Randy was paid $12K by Medicaid between Jan 2018 and Dec 2019, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 49% of everything it billed.

33Billing provider infoHATHORN, RANDY
BASSFIELD, MS 39421

33aNPI1912018748assigned 08/31/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims613

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other General Practice Dentistry providers in Mississippi

Rank by total paid#277 of 379

Median peer was paid$78K

This provider vs. median0.2×

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

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	477	$8K
2019	136	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	49%	221	168	$6K
D1120	Dental cleaning, childProphylaxis - child	27%	178	134	$3K
D1208	Topical application of fluoride, excluding varnish	16%	190	137	$2K
D0330	Panoramic radiographic image	5.3%	12	12	$650.68
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.5%	12	12	$309.36

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.