1316080625

1316080625 was paid $36K by Medicaid between Feb 2018 and May 2019, across 9 billing codes. Its largest line is D5110, — 32% of everything it billed.

33Billing provider info1316080625

33aNPI1316080625

33bProvider type—

28Total paid$36K

24GClaims249

24DCodes billed9

24AFirst – last monthFeb 2018 – May 2019

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	236	$35K
2019	13	$405.36

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D5110		32%	19	14	$11K
D5120		30%	18	13	$11K
D5750		20%	47	27	$7K
D5751		10%	26	15	$4K
D5410		3.3%	45	29	$1K
D5411		2.2%	36	20	$778.40
D0140	Limited oral evaluation - problem focused	1.1%	13	12	$405.36
D0150	Comprehensive oral evaluation - new or established patient	<1%	19	13	$327.70
D5510		0%	26	12	$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.