CAPITAL CHILDREN'S DENTAL CENTER, LLC
NPI: 1174739056
· COLUMBIA, SC 29210
· 1223G0001X
$2.56M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,303 |
$314K |
| 2019 |
11,005 |
$435K |
| 2020 |
9,539 |
$359K |
| 2021 |
12,038 |
$492K |
| 2022 |
10,371 |
$415K |
| 2023 |
6,877 |
$227K |
| 2024 |
7,109 |
$320K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
4,307 |
2,494 |
$447K |
| D2391 |
|
3,354 |
1,822 |
$263K |
| D0120 |
|
10,403 |
10,403 |
$243K |
| D1120 |
|
6,602 |
6,601 |
$231K |
| D1110 |
|
4,279 |
4,279 |
$215K |
| D9230 |
|
6,599 |
6,261 |
$213K |
| D1208 |
|
11,680 |
11,679 |
$192K |
| D9248 |
|
2,756 |
2,616 |
$189K |
| D0272 |
|
7,942 |
7,941 |
$150K |
| D7140 |
|
1,007 |
609 |
$88K |
| D2930 |
|
673 |
445 |
$84K |
| D0330 |
|
1,448 |
1,447 |
$72K |
| D0150 |
|
997 |
996 |
$41K |
| D1351 |
|
1,217 |
431 |
$36K |
| D0274 |
|
1,086 |
1,086 |
$30K |
| D2393 |
|
177 |
126 |
$25K |
| D0145 |
|
347 |
347 |
$13K |
| D0140 |
|
293 |
288 |
$11K |
| D0220 |
|
602 |
594 |
$8K |
| D0240 |
|
319 |
210 |
$6K |
| D2330 |
|
82 |
57 |
$5K |
| D0230 |
|
46 |
26 |
$423.53 |
| D1206 |
|
26 |
26 |
$421.20 |