KINGSTREE FAMILY DENTISRY LLC
NPI: 1104363233
· KINGSTREE, SC 29556
· 261QD0000X
$577K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,597 |
$120K |
| 2019 |
4,755 |
$172K |
| 2020 |
4,471 |
$171K |
| 2021 |
3,252 |
$113K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,848 |
1,848 |
$91K |
| D2392 |
|
906 |
601 |
$87K |
| D0330 |
|
1,097 |
1,097 |
$54K |
| D0120 |
|
2,209 |
2,209 |
$50K |
| D1120 |
|
1,349 |
1,349 |
$47K |
| D0272 |
|
2,380 |
2,380 |
$45K |
| D1206 |
|
2,608 |
2,608 |
$42K |
| D2391 |
|
495 |
295 |
$37K |
| D0150 |
|
769 |
769 |
$30K |
| D7210 |
|
143 |
81 |
$20K |
| D0140 |
|
536 |
531 |
$20K |
| D0274 |
|
572 |
572 |
$15K |
| D7140 |
|
154 |
97 |
$13K |
| D9230 |
|
346 |
342 |
$11K |
| D0220 |
|
461 |
457 |
$6K |
| D1351 |
|
158 |
40 |
$5K |
| D0160 |
|
29 |
29 |
$3K |
| D2393 |
|
15 |
12 |
$2K |