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NPI 1821513375
NPI deactivated
1821513375
1821513375 was paid $1.64M by Medicaid between Mar 2018 and Mar 2022, across 34 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 14% of everything it billed.
33Billing provider info1821513375
33aNPI1821513375
33bProvider type—
28Total paid$1.64M
24GClaims62,544
24DCodes billed34
24AFirst – last monthMar 2018 – Mar 2022
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 | 11,939 | $88K | |
| 2019 | 17,506 | $567K | |
| 2020 | 12,109 | $328K | |
| 2021 | 16,197 | $470K | |
| 2022 | 4,793 | $188K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 14% | 3,092 | 1,427 | $229K |
| D0330 | Panoramic radiographic image | 13% | 3,789 | 3,726 | $215K |
| D0140 | Limited oral evaluation - problem focused | 12% | 7,898 | 7,062 | $200K |
| D1110 | Prophylaxis - adult | 11% | 4,366 | 4,286 | $178K |
| D0274 | Bitewings - four radiographic images | 7.9% | 4,644 | 4,570 | $129K |
| D1206 | Topical application of fluoride varnish | 5.5% | 4,230 | 4,162 | $90K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 2,926 | 2,868 | $84K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 7,594 | 7,290 | $79K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 9,796 | 5,537 | $70K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 1,645 | 740 | $61K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.3% | 628 | 374 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.3% | 1,763 | 1,737 | $38K |
22 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 655 | $33K |
| D1330 | 2.0% | 4,741 | $33K | |
| D1354 | 1.8% | 969 | $29K | |
| D1351 | Sealant - per tooth | 1.7% | 1,352 | $29K |
| D1120 | Dental cleaning, child | 1.3% | 625 | $21K |
| D4355 | <1% | 459 | $16K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 155 | $12K |
| D2330 | <1% | 182 | $10K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 160 | $8K |
| D2140 | <1% | 87 | $5K | |
| D2332 | <1% | 52 | $5K | |
| D0272 | Bitewings - two radiographic images | <1% | 150 | $4K |
| D9110 | <1% | 108 | $2K | |
| D2335 | <1% | 70 | $2K | |
| D2331 | <1% | 24 | $2K | |
| D2394 | <1% | 30 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 62 | $707.31 |
| D9985 | <1% | 81 | $102.09 | |
| D0602 | 0% | 43 | $0.00 | |
| D0601 | 0% | 24 | $0.00 | |
| D0603 | 0% | 132 | $0.00 | |
| D5212 | 0% | 12 | $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.