Leopold Brinkman, Andrea

Leopold Brinkman, Andrea was paid $79K by Medicaid between Jan 2018 and Sep 2018, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.

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	3,343	$79K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	18%	673	673	$14K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	700	700	$13K
D1208	Topical application of fluoride, excluding varnish	15%	763	763	$12K
D2391	Resin-based composite - one surface, posterior, primary or permanent	11%	158	92	$8K
D7140	Extraction, erupted tooth or exposed root	9.1%	119	55	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.0%	111	64	$6K
D2930	Prefabricated stainless steel crown - primary tooth	7.0%	52	32	$6K
D0272	Bitewings - two radiographic images	5.1%	383	383	$4K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	3.3%	39	29	$3K
D0150	Comprehensive oral evaluation - new or established patient	3.3%	93	93	$3K
D0330	Panoramic radiographic image	1.7%	28	28	$1K
D1110	Prophylaxis - adult	1.2%	27	27	$967.68

2 more codes

D0220	Intraoral - periapical first radiographic image	<1%	145	$761.25
D0230	Intraoral - periapical each additional radiographic image	<1%	52	$504.00

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.