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NPI 1932494457
NPI deactivated
1932494457
1932494457 was paid $1.36M by Medicaid between Jan 2018 and Mar 2019, across 28 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.
33Billing provider info1932494457
33aNPI1932494457
33bProvider type—
28Total paid$1.36M
24GClaims50,240
24DCodes billed28
24AFirst – last monthJan 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 | 47,629 | $1.28M | |
| 2019 | 2,611 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 7,106 | 7,000 | $321K |
| D8670 | Periodic orthodontic treatment visit | 10% | 634 | 634 | $141K |
| D0210 | Intraoral - complete series of radiographic images | 9.7% | 3,293 | 3,233 | $132K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 4,261 | 4,198 | $121K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.6% | 862 | 287 | $90K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 3,226 | 3,183 | $87K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 1,326 | 534 | $69K |
| D0274 | Bitewings - four radiographic images | 3.8% | 2,949 | 2,913 | $52K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 14,518 | 7,110 | $49K |
| D1206 | Topical application of fluoride varnish | 3.3% | 5,236 | 5,153 | $45K |
| D7240 | Removal of impacted tooth - completely bony | 2.6% | 156 | 64 | $36K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 498 | 239 | $32K |
16 more codes
| D1110 | Prophylaxis - adult | 2.2% | 531 | $31K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 347 | $27K |
| D1351 | Sealant - per tooth | 1.8% | 1,188 | $25K |
| D9430 | 1.7% | 825 | $24K | |
| D9220 | 1.4% | 137 | $20K | |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 473 | $16K |
| D0330 | Panoramic radiographic image | <1% | 563 | $13K |
| D0272 | Bitewings - two radiographic images | <1% | 1,142 | $11K |
| D9221 | <1% | 140 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 598 | $6K |
| D2394 | <1% | 63 | $5K | |
| D7230 | <1% | 18 | $3K | |
| D9241 | <1% | 15 | $649.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 66 | $540.00 |
| D9910 | <1% | 54 | $361.20 | |
| D9242 | <1% | 15 | $206.50 |
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.