King, Brett

King, Brett was paid $56K by Medicaid between Nov 2021 and Jun 2024, across 10 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 36% of everything it billed.

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
2021	15	$165.00
2023	293	$21K
2024incomplete	200	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7240	Removal of impacted tooth - completely bony	36%	74	28	$20K
D7230		35%	73	26	$20K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	9.1%	42	26	$5K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	7.9%	109	103	$4K
D0330	Panoramic radiographic image	3.9%	33	33	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.5%	29	29	$2K
D7140	Extraction, erupted tooth or exposed root	3.5%	27	13	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	26	26	$663.90
D0140	Limited oral evaluation - problem focused	<1%	15	14	$165.00
D9613		0%	80	76	$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.