1497948988

1497948988 was paid $78K by Medicaid between Feb 2018 and May 2023, across 5 billing codes. Its largest line is D1351, Sealant - per tooth — 60% of everything it billed.

33Billing provider info1497948988

33aNPI1497948988

33bProvider type—

28Total paid$78K

24GClaims4,485

24DCodes billed5

24AFirst – last monthFeb 2018 – May 2023

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	1,043	$25K
2019	802	$16K
2020	247	$3K
2021	1,091	$13K
2022	985	$15K
2023	317	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	60%	1,680	251	$46K
D1206	Topical application of fluoride varnish	35%	1,707	1,548	$27K
D1208	Topical application of fluoride, excluding varnish	5.7%	261	249	$4K
D2941		0%	26	15	$0.00
D1355		0%	811	110	$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.