SPARTANBURG PEDIATRIC DENTISTRY
NPI: 1083934202
· SPARTANBURG, SC 29307
· Pediatric Dentist
$2.67M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,598 |
$438K |
| 2019 |
10,382 |
$430K |
| 2020 |
8,135 |
$316K |
| 2021 |
11,291 |
$415K |
| 2022 |
9,887 |
$372K |
| 2023 |
7,641 |
$226K |
| 2024 |
10,509 |
$469K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
3,569 |
975 |
$441K |
| D1120 |
|
9,583 |
9,583 |
$332K |
| D7140 |
|
3,311 |
1,064 |
$324K |
| D2392 |
|
2,509 |
979 |
$259K |
| D0120 |
|
8,353 |
8,353 |
$194K |
| D1206 |
|
11,666 |
11,666 |
$190K |
| D0272 |
|
8,033 |
8,033 |
$151K |
| D0150 |
|
2,487 |
2,487 |
$101K |
| D1110 |
|
1,938 |
1,938 |
$97K |
| D1351 |
|
3,137 |
991 |
$93K |
| D9230 |
|
2,283 |
2,209 |
$72K |
| D3220 |
|
824 |
348 |
$64K |
| D9223 |
|
491 |
379 |
$44K |
| D2391 |
|
488 |
245 |
$42K |
| D0220 |
|
3,319 |
3,287 |
$42K |
| D0330 |
|
680 |
680 |
$34K |
| D9222 |
|
381 |
381 |
$34K |
| D0145 |
|
809 |
809 |
$30K |
| D9310 |
|
447 |
447 |
$28K |
| D0230 |
|
2,272 |
983 |
$23K |
| D0210 |
|
405 |
405 |
$21K |
| D0140 |
|
432 |
428 |
$17K |
| D0240 |
|
827 |
804 |
$16K |
| D2393 |
|
50 |
26 |
$6K |
| D2150 |
|
52 |
26 |
$4K |
| D9420 |
|
39 |
39 |
$4K |
| D2330 |
|
25 |
12 |
$2K |
| D1354 |
|
33 |
13 |
$495.00 |