Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1437225455

1437225455 was paid $3.07M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 31% of everything it billed.

33Billing provider info1437225455
33aNPI1437225455
33bProvider type—
28Total paid$3.07M
24GClaims26,274
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
20182,959$178K
20192,956$289K
20202,329$309K
20213,329$446K
20223,880$525K
20235,658$709K
2024incomplete5,163$611K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7240 Removal of impacted tooth - completely bony 31% 4,267 1,879 $958K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 23% 3,500 2,284 $692K
D7230 13% 2,136 1,109 $401K
D0150 Comprehensive oral evaluation - new or established patient 11% 5,654 5,626 $343K
D9222 8.9% 2,274 2,270 $274K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 6.0% 1,581 821 $184K
D0330 Panoramic radiographic image 2.1% 2,045 2,019 $65K
D9220 1.7% 234 234 $51K
D9221 1.2% 315 238 $37K
D0220 Intraoral - periapical first radiographic image <1% 1,985 1,966 $23K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 475 475 $18K
70486 <1% 55 55 $7K
6 more codes
D0230 Intraoral - periapical each additional radiographic image <1% 1,588 $6K
99204 Doctor's office visit, new patient (more involved) <1% 55 $4K
D7140 Extraction, erupted tooth or exposed root <1% 29 $2K
99205 Prolong outpt/office vis <1% 13 $1K
76376 <1% 51 $1K
D9430 <1% 17 $544.00

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.