Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › INDIAN LAND › CAROLINA SMILE DENTISTRY, LLC

CAROLINA SMILE DENTISTRY, LLC

NPI: 1144674631 · INDIAN LAND, SC 29707 · General Practice Dentistry · NPI assigned 04/20/2016

$2K
Total Medicaid Paid
85
Total Claims
85
Beneficiaries
3
Codes Billed
2018-04
First Month
2018-10
Last Month

Provider Details

Authorized OfficialSETH, ANJALI (DENTIST)
NPI Enumeration Date04/20/2016

Related Entities

Other providers sharing the same authorized official: SETH, ANJALI

ProviderCityStateTotal Paid
RIVERWALK SMILE DENTISTRY, LLC ROCK HILL SC $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 85 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 42 42 $966.00
D1206 Topical application of fluoride varnish 30 30 $486.00
D1120 Prophylaxis - child 13 13 $452.40