Medicaid Provider Spending

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

WARREN, ELIZABETH

NPI: 1093063463 · WINNSBORO, SC 29180 · General Practice Dentistry · NPI assigned 08/16/2012

$14K
Total Medicaid Paid
544
Total Claims
533
Beneficiaries
7
Codes Billed
2018-04
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100 $3K
2019 159 $6K
2020 56 $1K
2021 66 $1K
2022 93 $2K
2023 29 $648.20
2024 41 $739.70

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 262 262 $6K
D1208 Topical application of fluoride, excluding varnish 164 164 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 23 12 $2K
D1110 Prophylaxis - adult 28 28 $1K
D1120 Prophylaxis - child 29 29 $1K
D0274 Bitewings - four radiographic images 26 26 $715.26
D0150 Comprehensive oral evaluation - new or established patient 12 12 $486.00