Hansen, Carl

Hansen, Carl was paid $10K by Medicaid between Jan 2018 and Jul 2018, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.

33Billing provider infoHANSEN, CARL
FAYETTEVILLE, WV 25840

33aNPI1922171024assigned 11/16/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$10K

24GClaims347

24DCodes billed5

24AFirst – last monthJan 2018 – Jul 2018

Compared with peers

Next to other General Practice Dentistry providers in West Virginia

Rank by total paid#132 of 193

Median peer was paid$44K

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	347	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	116	110	$3K
D1208	Topical application of fluoride, excluding varnish	24%	108	102	$2K
D7140	Extraction, erupted tooth or exposed root	23%	31	12	$2K
D1120	Dental cleaning, childProphylaxis - child	18%	60	56	$2K
D0272	Bitewings - two radiographic images	7.7%	32	31	$790.00

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.