Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JACKSON PEDIATRIC DENTISTRY LLC

NPI: 1144679507 · ROCK HILL, SC 29732 · 1223P0221X

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

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 516 516 $11K
D1120 264 264 $9K
D1206 453 453 $7K
D9230 88 83 $3K
D0220 155 153 $2K