INDIA HOOK DENTAL CARE
NPI: 1245434364
· ROCK HILL, SC 29732
· General Practice Dentistry
· NPI assigned 06/13/2007
$372K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, LAUREN (DENTIST/OWNER) |
| NPI Enumeration Date | 06/13/2007 |
Related Entities
Other providers sharing the same authorized official: SMITH, LAUREN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,735 |
$70K |
| 2019 |
3,063 |
$78K |
| 2020 |
1,738 |
$43K |
| 2021 |
1,858 |
$44K |
| 2022 |
2,031 |
$53K |
| 2023 |
1,781 |
$46K |
| 2024 |
1,406 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,376 |
2,375 |
$114K |
| D0120 |
Periodic oral evaluation - established patient |
4,524 |
4,523 |
$100K |
| D1206 |
Topical application of fluoride varnish |
5,484 |
5,484 |
$86K |
| D1120 |
Prophylaxis - child |
1,446 |
1,446 |
$49K |
| D0274 |
Bitewings - four radiographic images |
531 |
531 |
$14K |
| D0330 |
Panoramic radiographic image |
65 |
65 |
$3K |
| D0272 |
Bitewings - two radiographic images |
156 |
156 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
12 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$486.00 |