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

Horizon Health Care, INC

Horizon Health Care, INC was paid $150K by Medicaid between Jan 2018 and Mar 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 30% of everything it billed.

33Billing provider infoHORIZON HEALTH CARE, INC
MARTIN, SD 57551
33aNPI1972687192assigned 10/24/2006
33bProvider typeDental Clinic/Center
28Total paid$150K
24GClaims1,928
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Dental Clinic/Center providers in South Dakota

Rank by total paid#14 of 54
Median peer was paid$30K
This provider vs. median5.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
2018338$8K
2019187$11K
2020117$12K
2021357$33K
2022171$25K
2023552$42K
2024incomplete206$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 30% 344 344 $45K
D0140 Limited oral evaluation - problem focused 27% 260 258 $40K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 163 163 $21K
D0220 Intraoral - periapical first radiographic image 12% 257 255 $18K
D7140 Extraction, erupted tooth or exposed root 5.0% 119 58 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4.0% 83 53 $6K
D1110 Prophylaxis - adult 2.9% 104 103 $4K
D1120 Dental cleaning, childProphylaxis - child 2.4% 77 77 $4K
D0230 Intraoral - periapical each additional radiographic image 1.1% 66 42 $2K
D1206 Topical application of fluoride varnish <1% 276 276 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 15 13 $1K
D0274 Bitewings - four radiographic images <1% 121 121 $197.29
2 more codes
D0272 Bitewings - two radiographic images 0% 13 $0.00
D0210 Intraoral - complete series of radiographic images 0% 30 $0.00

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 officialRING, JANICE (OFFICE MANAGER)