Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › WEST COLUMBIA › THREE FOUNTAINS FAMILY DENTAL INC

THREE FOUNTAINS FAMILY DENTAL INC

NPI: 1295805042 · WEST COLUMBIA, SC 29170 · 1223G0001X

$196K
Total Medicaid Paid
5,469
Total Claims
5,441
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 548 $23K
2019 619 $25K
2020 584 $21K
2021 1,260 $44K
2022 1,032 $38K
2023 964 $31K
2024 462 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 1,287 1,287 $64K
D0330 772 772 $38K
D0140 561 560 $20K
D0120 834 834 $19K
D0274 666 666 $18K
D0150 458 458 $18K
D1206 764 764 $13K
D2392 51 24 $4K
D1120 63 63 $2K
D0220 13 13 $153.96