Medicaid Provider Spending

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

CHARLESTON ENDODONTICS LLC

NPI: 1144825993 · SUMMERVILLE, SC 29483 · Endodontist · NPI assigned 12/01/2020

$43K
Total Medicaid Paid
872
Total Claims
871
Beneficiaries
4
Codes Billed
2021-04
First Month
2023-06
Last Month

Provider Details

Authorized OfficialMASON, GINA (PRACTICE MANAGER)
NPI Enumeration Date12/01/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 102 $2K
2022 356 $15K
2023 414 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9310 326 325 $19K
D0364 136 136 $18K
D0220 Intraoral - periapical first radiographic image 369 369 $5K
D0140 Limited oral evaluation - problem focused 41 41 $1K