1780850677

1780850677 was paid $136K by Medicaid between Jan 2018 and Dec 2019, across 7 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 53% of everything it billed.

33Billing provider info1780850677

33aNPI1780850677

33bProvider type—

28Total paid$136K

24GClaims4,185

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2019

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	2,475	$74K
2019	1,710	$62K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	53%	1,828	1,293	$72K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	638	538	$38K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	10%	787	216	$14K
D1206	Topical application of fluoride varnish	6.1%	478	446	$8K
92551		2.1%	285	282	$3K
99411		<1%	36	36	$517.65
99173		<1%	133	133	$292.32

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.