Medicaid Provider Spending

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

NPI: 1225406960 · GREENWOOD, SC 29649 · Pediatric Dentist · NPI assigned 09/11/2015

$644.40
Total Medicaid Paid
26
Total Claims
26
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialMARTIN, BARBARA (HR MANAGER)
NPI Enumeration Date09/11/2015

Related Entities

Other providers sharing the same authorized official: MARTIN, BARBARA

ProviderCityStateTotal Paid
LAKESHORE INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES HOLLAND MI $228K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $644.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12 12 $417.60
D1208 Topical application of fluoride, excluding varnish 14 14 $226.80