PALMETTO KIDS DENTISTRY
NPI: 1164843918
· SUMMERVILLE, SC 29483
· 122300000X
$2.58M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
9,475 |
$308K |
| 2019 |
11,312 |
$370K |
| 2020 |
11,127 |
$342K |
| 2021 |
13,045 |
$415K |
| 2022 |
13,118 |
$414K |
| 2023 |
11,746 |
$335K |
| 2024 |
11,548 |
$398K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
11,997 |
11,997 |
$418K |
| D2392 |
|
3,143 |
1,579 |
$322K |
| D0120 |
|
13,581 |
13,581 |
$317K |
| D1110 |
|
4,870 |
4,870 |
$245K |
| D1206 |
|
14,422 |
14,422 |
$237K |
| D0274 |
|
5,567 |
5,567 |
$154K |
| D2391 |
|
1,778 |
1,180 |
$143K |
| D0272 |
|
7,402 |
7,402 |
$140K |
| D0330 |
|
2,231 |
2,231 |
$113K |
| D9230 |
|
2,973 |
2,848 |
$96K |
| D1351 |
|
2,793 |
935 |
$83K |
| D0145 |
|
1,587 |
1,587 |
$69K |
| D0150 |
|
1,506 |
1,506 |
$61K |
| D2930 |
|
416 |
130 |
$52K |
| D0220 |
|
2,756 |
2,740 |
$36K |
| D1208 |
|
1,949 |
1,949 |
$31K |
| D0140 |
|
733 |
731 |
$28K |
| D0230 |
|
1,416 |
1,310 |
$15K |
| D7140 |
|
137 |
81 |
$14K |
| D9420 |
|
52 |
52 |
$5K |
| D2140 |
|
25 |
14 |
$2K |
| D7111 |
|
21 |
14 |
$1K |
| D2330 |
|
16 |
12 |
$1K |