Medicaid Provider Spending

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

NEW AGE HEALTH LLC

NPI: 1225445042 · GREENVILLE, SC 29617 · Health Service Clinic/Center · NPI assigned 07/14/2014

$18K
Total Medicaid Paid
774
Total Claims
770
Beneficiaries
6
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialSIMPSON, DONDRE (OWNER)
NPI Enumeration Date07/14/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 311 $8K
2019 248 $6K
2020 78 $2K
2021 41 $674.39
2022 96 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 132 132 $6K
D0274 Bitewings - four radiographic images 142 142 $4K
D0150 Comprehensive oral evaluation - new or established patient 64 64 $3K
D0220 Intraoral - periapical first radiographic image 190 190 $2K
D0230 Intraoral - periapical each additional radiographic image 159 155 $2K
D1206 Topical application of fluoride varnish 87 87 $1K