1851425482

1851425482 was paid $198K by Medicaid between Jan 2018 and Jan 2019, across 21 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 12% of everything it billed.

33Billing provider info1851425482

33aNPI1851425482

33bProvider type—

28Total paid$198K

24GClaims9,538

24DCodes billed21

24AFirst – last monthJan 2018 – Jan 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	9,346	$194K
2019	192	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	12%	786	731	$23K
D1206	Topical application of fluoride varnish	12%	561	523	$23K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	10%	364	215	$20K
D0274	Bitewings - four radiographic images	10%	929	875	$20K
D0230	Intraoral - periapical each additional radiographic image	9.1%	3,321	1,081	$18K
D1120	Dental cleaning, childProphylaxis - child	8.9%	399	373	$18K
D0220	Intraoral - periapical first radiographic image	7.5%	1,068	994	$15K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.8%	439	168	$13K
D0150	Comprehensive oral evaluation - new or established patient	4.8%	338	321	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.8%	380	354	$8K
D0330	Panoramic radiographic image	2.8%	167	153	$6K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.7%	201	98	$5K

9 more codes

D2950		2.2%	83	$4K
D2751	Crown - porcelain fused to predominantly base metal	1.7%	30	$3K
D4346		1.5%	120	$3K
D4341		1.4%	82	$3K
D1351	Sealant - per tooth	1.4%	134	$3K
D7140	Extraction, erupted tooth or exposed root	<1%	55	$2K
D0210	Intraoral - complete series of radiographic images	<1%	15	$825.16
D5899		<1%	52	$492.00
D1110	Prophylaxis - adult	<1%	14	$249.81

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.