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NPI 1902911686
1902911686
1902911686 was paid $38K by Medicaid between Mar 2018 and Mar 2019, across 6 billing codes. Its largest line is D6010, — 79% of everything it billed.
33Billing provider info1902911686
33aNPI1902911686
33bProvider type—
28Total paid$38K
24GClaims310
24DCodes billed6
24AFirst – last monthMar 2018 – Mar 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 | 178 | $5K | |
| 2019 | 132 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D6010 | 79% | 28 | 12 | $30K | |
| D1110 | Prophylaxis - adult | 11% | 89 | 89 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 97 | 95 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 59 | 59 | $1K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 14 | 14 | $560.00 |
| D1330 | <1% | 23 | 23 | $322.00 |
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.