CHESTER FAMILY DENTAL CARE, LLC
NPI: 1104290899
· CHESTER, SC 29706
· Dentist
$1.35M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,824 |
$195K |
| 2019 |
5,955 |
$201K |
| 2020 |
4,326 |
$160K |
| 2021 |
6,114 |
$234K |
| 2022 |
5,981 |
$234K |
| 2023 |
5,266 |
$164K |
| 2024 |
4,502 |
$164K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
4,307 |
4,307 |
$209K |
| D2392 |
|
1,852 |
1,292 |
$179K |
| D0120 |
|
5,517 |
5,516 |
$127K |
| D1120 |
|
3,587 |
3,587 |
$125K |
| D0274 |
|
4,017 |
4,017 |
$109K |
| D2393 |
|
942 |
635 |
$109K |
| D1208 |
|
6,540 |
6,540 |
$106K |
| D0330 |
|
1,963 |
1,963 |
$94K |
| D0150 |
|
1,956 |
1,956 |
$78K |
| D0140 |
|
1,954 |
1,921 |
$71K |
| D0272 |
|
2,672 |
2,672 |
$50K |
| D7210 |
|
343 |
241 |
$45K |
| D0220 |
|
1,963 |
1,929 |
$24K |
| D2394 |
|
145 |
120 |
$19K |
| D7140 |
|
98 |
65 |
$8K |
| D0230 |
|
99 |
96 |
$1K |
| D1206 |
|
13 |
13 |
$247.00 |