Medicaid Provider Spending

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

CLIFFORD, CHARU

NPI: 1093381220 · BENNETTSVILLE, SC 29512 · General Practice Dentistry · NPI assigned 05/28/2021

$6K
Total Medicaid Paid
278
Total Claims
278
Beneficiaries
6
Codes Billed
2021-07
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $318.60
2023 228 $5K
2024 36 $680.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 86 86 $2K
D1206 Topical application of fluoride varnish 87 87 $1K
D1110 Prophylaxis - adult 24 24 $1K
D0274 Bitewings - four radiographic images 16 16 $448.00
D0220 Intraoral - periapical first radiographic image 34 34 $442.00
D0230 Intraoral - periapical each additional radiographic image 31 31 $341.00