Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › ROCK HILL › JACKSON PEDIATRIC DENTISTRY LLC

JACKSON PEDIATRIC DENTISTRY LLC

NPI: 1144679507 · ROCK HILL, SC 29732 · Pediatric Dentist · NPI assigned 06/07/2016

$32K
Total Medicaid Paid
1,476
Total Claims
1,469
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialJACKSON, STEPHANIE (PEDIATRIC DENTIST)
NPI Enumeration Date06/07/2016

Related Entities

Other providers sharing the same authorized official: JACKSON, STEPHANIE

ProviderCityStateTotal Paid
AAA CARE LLC NEW ORLEANS LA $14.87M
A BETTER DAY HOME CARE SERVICES, INC. CHARLOTTE NC $2.67M
EVERYCARE EXPRESS CLINIC CANTON MS $1.39M
AAA CARE LLC NEW ORLEANS LA $1.33M
AAA CARE LLC NEW ORLEANS LA $243K
A SUNNY DAY HOME HEALTHCARE INC CHARLOTTE NC $111K
CLARK AND JACKSON PD, LLC FORT MILL SC $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 899 $20K
2019 426 $9K
2020 151 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 516 516 $11K
D1120 Prophylaxis - child 264 264 $9K
D1206 Topical application of fluoride varnish 453 453 $7K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 88 83 $3K
D0220 Intraoral - periapical first radiographic image 155 153 $2K