Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › CONWAY › RUSSELL A. BOATWRIGHT, D.M.D., P.C.

RUSSELL A. BOATWRIGHT, D.M.D., P.C.

NPI: 1114091600 · CONWAY, SC 29526 · General Practice Dentistry · NPI assigned 11/17/2006

$1K
Total Medicaid Paid
40
Total Claims
40
Beneficiaries
2
Codes Billed
2019-07
First Month
2020-01
Last Month

Provider Details

Authorized OfficialBOATWRIGHT, RUSSELL (PRESIDENT)
NPI Enumeration Date11/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $230.00
2020 28 $921.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 12 12 $579.50
D0120 Periodic oral evaluation - established patient 28 28 $571.60