1831301803

1831301803 was paid $340K by Medicaid between Jan 2018 and May 2023, across 9 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 25% of everything it billed.

33Billing provider info1831301803

33aNPI1831301803

33bProvider type—

28Total paid$340K

24GClaims9,081

24DCodes billed9

24AFirst – last monthJan 2018 – May 2023

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	3,035	$121K
2019	2,848	$121K
2020	1,917	$62K
2021	837	$25K
2022	65	$1K
2023	379	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	25%	1,553	894	$86K
D1110	Prophylaxis - adult	24%	1,626	1,624	$82K
D2335		15%	380	162	$51K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	1,642	1,640	$43K
D0230	Intraoral - periapical each additional radiographic image	13%	2,144	2,046	$43K
D0220	Intraoral - periapical first radiographic image	5.2%	1,494	1,490	$18K
D2161		3.7%	96	56	$12K
D0150	Comprehensive oral evaluation - new or established patient	1.1%	132	132	$4K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	<1%	14	12	$1K

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.