Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › LEXINGTON › WHITE KNOLL DENTISTRY, LLC

WHITE KNOLL DENTISTRY, LLC

NPI: 1033341433 · LEXINGTON, SC 29073 · Dental Clinic/Center · NPI assigned 08/18/2009

$14K
Total Medicaid Paid
681
Total Claims
681
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialBACKMAN, MELISSA (DENTIST)
NPI Enumeration Date08/18/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 215 $4K
2019 289 $6K
2020 67 $1K
2022 98 $2K
2023 12 $288.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 324 324 $7K
D1206 Topical application of fluoride varnish 293 293 $5K
D1120 Prophylaxis - child 64 64 $2K