Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › GREER › FAMILY DENTAL HEALTH OF MOUNTAIN VIEW, LLC

FAMILY DENTAL HEALTH OF MOUNTAIN VIEW, LLC

NPI: 1154885762 · GREER, SC 29651 · General Practice Dentistry · NPI assigned 01/28/2019

$17K
Total Medicaid Paid
754
Total Claims
754
Beneficiaries
5
Codes Billed
2019-03
First Month
2023-10
Last Month

Provider Details

Authorized OfficialILLSLEY, BETH (DIRECTOR OF INSURANCE)
Parent OrganizationFDH HOLDINGS
NPI Enumeration Date01/28/2019

Related Entities

Other providers sharing the same authorized official: ILLSLEY, BETH

ProviderCityStateTotal Paid
FAMILY DENTAL HEALTH OF GREER, LLC GREER SC $656K
FAMILY DENTAL HEALTH OF GREENRIDGE, LLC GREENVILLE SC $415K
FAMILY DENTAL HEALTH OF FURMAN LLC GREENVILLE SC $113K
FAMILY DENTAL HEALTH OF MOORE LLC MOORE SC $15K
FAMILY DENTAL HEALTH OF MURRAY LANDING LLC COLUMBIA SC $13K
FAMILY DENTAL HEALTH OF CREEKSIDE LLC GREENVILLE SC $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 244 $6K
2020 141 $3K
2021 169 $4K
2022 137 $3K
2023 63 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 345 345 $8K
D1206 Topical application of fluoride varnish 299 299 $5K
D1110 Prophylaxis - adult 55 55 $3K
D0274 Bitewings - four radiographic images 43 43 $1K
D1120 Prophylaxis - child 12 12 $417.60