DR. HARRY ALLEN HART DDS
NPI 1598812802
Dentist - General Practice in Desert Hot Springs, CA

Medicare Participation & PECOS Enrollment Status

Harry Hart is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Harry Hart is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 5395048011

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20210630003154

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• Accepts Medicare Assignment? Yes

  What does it mean "accepts medicare assignment"?
  When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
  A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

3d radiographic procedure

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

This service was performed 90 times for 83 patients

3d radiographic procedure with computerized image postprocessing

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

This service was performed 116 times for 110 patients

Biopsy of deep bone

A biopsy of deep bone is a procedure where a small sample of bone tissue is taken for examination. This helps identify any abnormalities or diseases. The procedure involves a needle inserted through the skin into the bone. Mild discomfort may be felt, but it's generally safe.

This service was performed 283 times for 158 patients

Biopsy of mouth

A biopsy of the mouth is a procedure where a small sample of tissue is taken from your mouth. This is done to examine the tissue under a microscope and check for any abnormal cells or diseases. The procedure is usually quick and may involve local anesthesia for comfort.

This service was performed 41 times for 36 patients

Biopsy of surface bone

A biopsy of surface bone is a procedure where a small piece of bone tissue is removed for examination. This helps to diagnose conditions such as cancer or infections. It involves a needle or small incision, and may require local or general anesthesia.

This service was performed 29 times for 28 patients

Collection of stem cells for transplantation

Stem cells for transplantation are typically collected from your bloodstream in a process known as apheresis. It involves circulating your blood through a machine that separates out stem cells, returning the rest of the blood to your body. It's a non-surgical, outpatient procedure.

This service was performed 51 times for 47 patients

Complicated drainage of abscess, cyst, or blood accumulation of mouth

This procedure involves the careful removal of abnormal fluid collections, like pus or blood, from the mouth. It can be required for various reasons, such as an abscess, cyst, or blood accumulation. The process is performed under local anesthesia to minimize discomfort.

This service was performed 67 times for 53 patients

Ct scan of face without contrast

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

This service was performed 205 times for 178 patients

Drainage of abscess, cyst, or blood accumulation of tongue or floor of mouth from inside mouth

This procedure involves relieving a buildup of pus, fluid, or blood in the tongue or floor of the mouth. A healthcare professional makes a small incision inside the mouth to drain the buildup, helping to reduce discomfort and prevent further complications.

This service was performed 213 times for 128 patients

Drawing of blood for a medical problem

Drawing blood is a simple procedure where a needle is inserted into a vein, usually in your arm, to collect a small sample. This sample helps in diagnosing any medical issues you may have. You might feel a small prick, but overall, it's a quick and safe process.

This service was performed 488 times for 181 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 523 times for 186 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 152 times for 126 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 41 times for 40 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 17 times for 16 patients

Harvest of graft from small bone

Harvesting of a graft from a small bone is a procedure where a small piece of bone is taken from one area of your body to be used in another area. This is often done to help repair or rebuild a damaged or diseased bone, improving its strength and function.

This service was performed 50 times for 43 patients

Harvest of patient bone marrow for transplantation

Harvesting bone marrow for transplantation involves taking a small amount of bone marrow from your body under anesthesia. This marrow, rich in stem cells, can help regenerate healthy blood cells in individuals with certain diseases. It's a critical step in the transplant process.

This service was performed 454 times for 171 patients

Impression and custom preparation of lower jaw bone prosthesis

This procedure involves creating a mold of your lower jaw bone to prepare a custom-made prosthesis. The mold helps ensure the prosthesis fits perfectly, enhancing comfort and function. This process is part of replacing missing or damaged bone, improving oral health and appearance.

This service was performed 65 times for 54 patients

Impression and custom preparation of oral surgical splint

An oral surgical splint is a device designed to protect your mouth, align your jaw, or aid in healing after surgery. The process involves taking an impression of your teeth to create a splint that fits perfectly. This custom-made device ensures comfort and effectiveness.

This service was performed 34 times for 30 patients

Impression and custom preparation of prosthesis for roof of mouth enlargement

This procedure involves taking an impression of your mouth to create a tailor-made prosthesis. This device will help enlarge the roof of your mouth, improving speech and swallowing abilities. The process is safe, personalized, and designed for your comfort.

This service was performed 57 times for 50 patients

Impression and custom preparation of temporary oral prosthesis

This procedure involves taking an impression of your mouth to create a custom temporary oral prosthesis. This temporary device helps protect your teeth and gums while your permanent prosthesis is being made, ensuring a comfortable and effective fit.

This service was performed 106 times for 90 patients

Incision and repair of bony defect of cheek bone with repositioning of bony segment

This procedure involves making a cut to access and repair a defect in your cheek bone. The bone segment may be moved to a better position for healing. It's a common method to fix bone issues and promote proper healing.

This service was performed 400 times for 166 patients

Incision of nasal sinus through nose

This procedure, called a nasal sinus incision, involves making a small cut in the nasal sinus through the nose. It's typically done to treat sinus issues or remove growths. Local or general anesthesia ensures comfort during the procedure.

This service was performed 101 times for 79 patients

Incision or partial removal of lower jaw bone

This procedure involves making a cut or partially removing the lower jaw bone. It's often necessary to treat conditions like tumors or severe jaw misalignment. The goal is to improve your oral health or facial structure. Expect a recovery period post-surgery.

This service was performed 208 times for 140 patients

Incision or partial removal of upper jaw bone

This procedure involves making a cut or partially removing the upper jaw bone. It's usually done to treat conditions like tumors, severe infections, or injuries. The goal is to improve health and function. Rest assured, professionals take every step to ensure your comfort.

This service was performed 193 times for 134 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 143 times for 143 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

This service was performed 71 times for 57 patients

Preparation of permanent prosthesis to close mouth opening

A permanent prosthesis is a custom-made device designed to close a mouth opening. It's prepared after careful evaluation of your oral structure. This device aids in functions like speaking, eating, and facial appearance. It's a safe, effective solution for oral health improvement.

This service was performed 103 times for 84 patients

Removal of deep implant from bone

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

This service was performed 43 times for 41 patients

Removal of face bone

Removal of a facial bone is a surgical procedure aimed at treating conditions like tumors or fractures. It involves making incisions to access the affected bone, then carefully removing it. This procedure requires general anesthesia and may result in temporary facial swelling or numbness.

This service was performed 90 times for 76 patients

Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone

This procedure involves the extraction of foreign objects lodged in your skin, muscle, or bone due to an open fracture or dislocation. It's performed under anesthesia and involves making an incision, removing the foreign material, and then closing the wound.

This service was performed 21 times for 16 patients

Removal of growth of mouth with simple repair

This procedure involves the surgical removal of an abnormal growth in the mouth. After the growth is removed, a simple repair is done to heal the area. This can include stitches or other methods to close the wound, promoting quick and effective healing.

This service was performed 369 times for 175 patients

Removal of growth or cyst of lower jaw bone through mouth

This procedure involves removing a growth or cyst from your lower jaw bone. Access is gained through the mouth, minimizing visible scarring. It's done under anesthesia, meaning you won't feel pain during the process. It helps maintain your oral health.

This service was performed 75 times for 63 patients

Removal of growth or cyst of part of lower jaw bone

This procedure involves the surgical removal of an abnormal growth or cyst from the lower jaw bone. It's performed under anesthesia and aims to alleviate discomfort, prevent further complications, and improve oral health.

This service was performed 34 times for 29 patients

Removal of growth or cyst of part of upper jaw bone

This procedure involves the surgical removal of an abnormal growth or cyst from the upper jaw bone. It's done under anesthesia, ensuring comfort. The surgeon accesses the affected area, removes the growth or cyst, and repairs the site. This aids in preventing further complications.

This service was performed 46 times for 38 patients

Removal of growth or cyst of upper jaw bone through mouth

This procedure involves the removal of a growth or cyst from the upper jaw bone. The operation is performed through the mouth, minimizing visible scarring. The aim is to alleviate discomfort and prevent potential complications. Recovery time varies depending on individual circumstances.

This service was performed 58 times for 54 patients

Removal of lower jaw bone

The removal of the lower jaw bone, or mandibulectomy, is a surgical procedure performed to treat conditions like oral cancer or severe trauma. It involves removing part or all of the lower jaw to prevent disease spread or repair damage. Post-surgery, reconstructive measures may be taken for functionality and appearance.

This service was performed 94 times for 83 patients

Repair of abnormal drainage tract between nasal sinuses

This procedure addresses an irregular drainage pathway from your nasal sinuses. The doctor uses a small, flexible tube with a camera to view the area and correct the issue. This helps to prevent infections and improve breathing.

This service was performed 85 times for 73 patients

Repair of lacerated mouth, 2.5 cm or less

This procedure involves the treatment of a cut in the mouth, not exceeding 2.5 cm. The process includes cleaning the wound to prevent infection, then stitching it to aid healing. It's a common, safe procedure performed under local anesthesia.

This service was performed 160 times for 100 patients

Repair of lower jaw bone with bone graft

This procedure involves the use of bone grafts to repair defects or damages in your lower jaw bone. A bone graft is a piece of bone taken from another part of your body or a special bone material. It helps stimulate new bone growth and provide structural stability.

This service was performed 278 times for 173 patients

Repair of nasal or cheek bone with bone graft

This procedure involves fixing damaged nasal or cheek bones using a bone graft. A bone graft is a piece of healthy bone taken from another area of your body, or a special bone-like material. It's used to help your damaged bone heal, restore its original shape, or improve its function.

This service was performed 278 times for 161 patients

Simple drainage of abscess, cyst, or blood accumulation of mouth

This procedure involves the removal of fluid or pus from an abscess, cyst, or blood accumulation in the mouth. It's done by making a small incision, then gently draining the contents. This helps alleviate pain and promotes healing. It's a common, safe procedure.

This service was performed 82 times for 68 patients

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less

This is a procedure to fix a surface wound on the face, ears, eyelids, nose, lips, or mouth. It involves cleaning the wound and stitching it up if it's 2.5 cm or less in length. The aim is to prevent infection and promote healing.

This service was performed 219 times for 127 patients

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm

This procedure involves the repair of a surface wound on your face, ears, eyelids, nose, lips, or mouth. The wound size is between 2.6-5.0 cm. The process includes cleaning the wound and stitching it up to promote healing and minimize scarring.

This service was performed 157 times for 113 patients

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm

This procedure involves the basic repair of a surface wound on the face, ears, eyelids, nose, lips, or mouth. The wound size is between 5.1 to 7.5 cm. The repair may include cleaning, removing debris, and stitching the wound for proper healing.

This service was performed 25 times for 23 patients

X-ray of face bones, minimum of 3 views

An X-ray of face bones, minimum of 3 views, is a diagnostic procedure where images of your facial bones are taken from at least three different angles. This helps in detecting fractures, infections, or other abnormalities in the facial region. It's a quick, painless process.

This service was performed 719 times for 225 patients

X-ray of lower jaw, minimum of 4 views

An X-ray of the lower jaw, with a minimum of 4 views, is a non-invasive imaging procedure. It helps to view the structure of your jawbone and teeth from various angles. This aids in diagnosing conditions like fractures, infections, or abnormalities effectively.

This service was performed 696 times for 227 patients

X-ray of lower jaws, upper jaws and teeth

An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.

This service was performed 163 times for 148 patients

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.97 for a new patient copayment and $18.52 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 92240 ZIP code area.

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 0, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

• Final Score: 0 out of 100

  The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
  
  

• Quality Score: 0

  The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
  
  There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
  
  

• Promoting Interoperability Score: N/A

  The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
  
  The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

• Improvement Activities Score: 0

  The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
  
  The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

• Cost Score: N/A

  The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
  
  Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

• Cost Score: N/A

  The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
  
  Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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