SUMMERVILLE PEDIATRIC DENTISTRY
NPI: 1275764672
· SUMMERVILLE, SC 29483
· 1223P0221X
$2.50M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,379 |
$254K |
| 2019 |
9,823 |
$300K |
| 2020 |
9,986 |
$317K |
| 2021 |
13,235 |
$406K |
| 2022 |
14,227 |
$429K |
| 2023 |
13,135 |
$377K |
| 2024 |
13,002 |
$416K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
11,438 |
11,438 |
$390K |
| D0120 |
|
14,466 |
14,466 |
$332K |
| D1110 |
|
6,588 |
6,588 |
$325K |
| D1206 |
|
17,411 |
17,411 |
$281K |
| D0272 |
|
8,888 |
8,888 |
$164K |
| D2392 |
|
1,484 |
960 |
$142K |
| D2391 |
|
1,762 |
1,220 |
$135K |
| D7140 |
|
1,476 |
984 |
$127K |
| D0274 |
|
4,439 |
4,439 |
$122K |
| D0330 |
|
2,365 |
2,365 |
$115K |
| D0150 |
|
2,159 |
2,159 |
$85K |
| D1351 |
|
2,812 |
734 |
$82K |
| D0145 |
|
1,435 |
1,435 |
$65K |
| D9230 |
|
2,077 |
2,023 |
$63K |
| D0140 |
|
1,151 |
1,142 |
$42K |
| D0220 |
|
1,047 |
1,037 |
$13K |
| D1354 |
|
496 |
178 |
$7K |
| D2930 |
|
40 |
25 |
$5K |
| D0240 |
|
185 |
159 |
$3K |
| D0230 |
|
68 |
50 |
$659.44 |