Medicaid Provider Spending

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

D. CALVIN RILEY JR. DMD PA

NPI: 1013964147 · NORTH MYRTLE BEACH, SC 29582 · Dentist · NPI assigned 05/26/2006

$24K
Total Medicaid Paid
803
Total Claims
802
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialRILEY, DON (DENTIST OWNER)
NPI Enumeration Date05/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 144 $4K
2019 174 $5K
2020 81 $3K
2021 134 $4K
2022 97 $3K
2023 135 $3K
2024 38 $632.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 214 214 $11K
D0120 Periodic oral evaluation - established patient 460 460 $11K
D1120 Prophylaxis - child 29 29 $1K
D0220 Intraoral - periapical first radiographic image 63 62 $799.58
D1208 Topical application of fluoride, excluding varnish 25 25 $412.50
D0272 Bitewings - two radiographic images 12 12 $227.28