Supplier
Hale Family Dentistry Corp
Hale Family Dentistry Corp was paid $3K by Medicaid between Jan 2023 and May 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 53% of everything it billed.
33Billing provider infoHALE FAMILY DENTISTRY CORP
FORT WAYNE, IN 46815
FORT WAYNE, IN 46815
33aNPI1912569492assigned 07/03/2019
33bProvider typeCustomized Equipment (DME)
28Total paid$3K
24GClaims114
24DCodes billed3
24AFirst – last monthJan 2023 – May 2024
Compared with peers
Next to other Customized Equipment (DME) providers in Indiana
Rank by total paid#24 of 25
Median peer was paid$464K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 86 | $2K | |
| 2024incomplete | 28 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 53% | 76 | 76 | $2K |
| D1110 | Prophylaxis - adult | 40% | 25 | 24 | $1K |
| D1206 | Topical application of fluoride varnish | 6.4% | 13 | 13 | $222.50 |
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 officialHALE, CASSANDRA (MANAGER)