1871659037

1871659037 was paid $66K by Medicaid between Aug 2019 and Feb 2020, across 7 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 58% of everything it billed.

33Billing provider info1871659037

33aNPI1871659037

33bProvider type—

28Total paid$66K

24GClaims736

24DCodes billed7

24AFirst – last monthAug 2019 – Feb 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
2019	483	$45K
2020	253	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8670	Periodic orthodontic treatment visit	58%	171	159	$39K
D8030		28%	216	210	$18K
D0340		6.1%	96	85	$4K
D0330	Panoramic radiographic image	3.7%	83	78	$2K
D0350		2.8%	101	88	$2K
D0150	Comprehensive oral evaluation - new or established patient	1.5%	53	46	$1K
D8660		0%	16	15	$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.