1508845561

1508845561 was paid $1.57M by Medicaid between Jan 2018 and Jun 2021, across 12 billing codes. Its largest line is D7230, — 23% of everything it billed.

33Billing provider info1508845561

33aNPI1508845561

33bProvider type—

28Total paid$1.57M

24GClaims18,069

24DCodes billed12

24AFirst – last monthJan 2018 – Jun 2021

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	5,601	$488K
2019	6,276	$561K
2020	4,182	$350K
2021	2,010	$169K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7230		23%	2,175	975	$365K
D7240	Removal of impacted tooth - completely bony	16%	1,331	535	$257K
D7140	Extraction, erupted tooth or exposed root	13%	3,253	1,189	$206K
D9243		12%	1,709	1,689	$195K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	9.9%	1,439	864	$155K
D0140	Limited oral evaluation - problem focused	7.3%	3,145	3,101	$114K
D9239		7.2%	1,545	1,532	$114K
D9612		6.6%	1,785	1,771	$104K
D0330	Panoramic radiographic image	1.6%	1,231	1,210	$26K
D7220		1.1%	145	99	$17K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	288	282	$12K
D7250		<1%	23	13	$3K

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.