Medicaid Provider Spending

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

ALLEN FAMILY DENTISTRY, LLC

NPI: 1184958530 · MT. PLEASANT, SC 29466 · Dentist · NPI assigned 10/01/2009

$11K
Total Medicaid Paid
481
Total Claims
481
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialALLEN, CORY (OWNER)
NPI Enumeration Date10/01/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 129 $3K
2019 96 $2K
2020 68 $1K
2021 78 $2K
2022 57 $1K
2023 53 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 303 303 $7K
D1208 Topical application of fluoride, excluding varnish 138 138 $2K
D1110 Prophylaxis - adult 40 40 $2K