Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COOK AND ASSOCIATES OF NORTH CAROLINA PLLC

NPI: 1013457217 · CHARLOTTE, NC 28209 · Dental Clinic/Center · NPI assigned 03/07/2017

$29K
Total Medicaid Paid
2,445
Total Claims
2,242
Beneficiaries
16
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialCOOK, DANIEL (OWNER/PARTNER)
NPI Enumeration Date03/07/2017

Related Entities

Other providers sharing the same authorized official: COOK, DANIEL

ProviderCityStateTotal Paid
LUMBERTON RESCUE AND EMERGENCY MEDICAL SERVICE, INC LUMBERTON NC $612K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,720 $22K
2019 725 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 279 279 $12K
D0230 Intraoral - periapical each additional radiographic image 185 87 $4K
D4355 66 66 $4K
D9410 421 418 $3K
D0170 71 70 $2K
D1110 Prophylaxis - adult 75 75 $2K
D0210 Intraoral - complete series of radiographic images 12 12 $825.88
D0220 Intraoral - periapical first radiographic image 91 91 $817.64
D0120 Periodic oral evaluation - established patient 31 29 $519.60
D9310 423 420 $0.00
D1208 Topical application of fluoride, excluding varnish 117 115 $0.00
D0999 Unspecified diagnostic procedure, by report 220 220 $0.00
D9215 18 17 $0.00
D4381 90 88 $0.00
D0350 209 119 $0.00
D0431 137 136 $0.00