1801885314

1801885314 was paid $1.24M by Medicaid between Jan 2018 and Nov 2020, across 11 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 27% of everything it billed.

33Billing provider info1801885314

33aNPI1801885314

33bProvider type—

28Total paid$1.24M

24GClaims11,515

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2020

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	5,193	$587K
2019	4,823	$492K
2020	1,499	$160K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7240	Removal of impacted tooth - completely bony	27%	1,653	558	$333K
D7140	Extraction, erupted tooth or exposed root	18%	3,660	946	$225K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	17%	1,482	514	$211K
D7230		14%	997	450	$174K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	9.3%	1,379	1,201	$115K
D9222		7.9%	1,028	952	$98K
D7220		4.1%	342	158	$51K
D0330	Panoramic radiographic image	1.5%	617	548	$18K
D0140	Limited oral evaluation - problem focused	<1%	221	198	$9K
D0150	Comprehensive oral evaluation - new or established patient	<1%	117	112	$4K
D1999		<1%	19	18	$304.00

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.