Medicaid Provider Spending

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

CAROLINA AVENUE DENTAL

NPI: 1023116019 · MONCKS CORNER, SC 29461 · 1223G0001X

$11K

Total Medicaid Paid

504

Total Claims

504

Beneficiaries

8

Codes Billed

2018-02

First Month

2018-06

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	504	$11K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		61	61	$3K
D0274		101	101	$2K
D0120		98	98	$2K
D1206		80	80	$1K
D0220		86	86	$1K
D0330		13	13	$651.17
D0230		53	53	$484.15
D1120		12	12	$313.20