1659587772

1659587772 was paid $114K by Medicaid between Apr 2018 and Jul 2021, across 5 billing codes. Its largest line is D7970, — 89% of everything it billed.

33Billing provider info1659587772

33aNPI1659587772

33bProvider type—

28Total paid$114K

24GClaims390

24DCodes billed5

24AFirst – last monthApr 2018 – Jul 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	143	$39K
2019	173	$54K
2020	58	$20K
2021	16	$296.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7970		89%	237	188	$102K
D7510		4.5%	34	27	$5K
D7530		3.3%	15	13	$4K
D0460		1.9%	57	49	$2K
D0220	Intraoral - periapical first radiographic image	<1%	47	36	$906.80

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.