Medicaid Provider Spending

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

MANNING DENTAL ASSOCIATES

NPI: 1073635090 · MANNING, SC 29102 · General Practice Dentistry · NPI assigned 04/03/2007

$21K
Total Medicaid Paid
715
Total Claims
715
Beneficiaries
4
Codes Billed
2018-02
First Month
2024-07
Last Month

Provider Details

Authorized OfficialCOFFEY, GEORGINA (VICE PRESIDENT)
NPI Enumeration Date04/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 341 $9K
2019 202 $6K
2020 53 $1K
2021 95 $3K
2023 12 $288.00
2024 12 $336.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 199 199 $10K
D0120 Periodic oral evaluation - established patient 331 331 $8K
D1208 Topical application of fluoride, excluding varnish 156 156 $3K
D0272 Bitewings - two radiographic images 29 29 $549.26