CORNERSTONE CHILDREN'S DENTISTRY, P.A.
NPI: 1346464674
· CHARLESTON, SC 29414
· Pediatric Dentist
· NPI assigned 04/11/2007
$210K
Total Medicaid Paid
Provider Details
| Authorized Official | GALLOWAY, PAUL (DENTIST) |
| NPI Enumeration Date | 04/11/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,437 |
$33K |
| 2019 |
1,344 |
$32K |
| 2020 |
1,231 |
$29K |
| 2021 |
1,424 |
$35K |
| 2022 |
1,290 |
$31K |
| 2023 |
1,161 |
$28K |
| 2024 |
874 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,763 |
1,763 |
$60K |
| D0120 |
Periodic oral evaluation - established patient |
2,550 |
2,550 |
$58K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,133 |
2,133 |
$34K |
| D0272 |
Bitewings - two radiographic images |
1,292 |
1,292 |
$24K |
| D1110 |
Prophylaxis - adult |
474 |
474 |
$24K |
| D1206 |
Topical application of fluoride varnish |
450 |
450 |
$8K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
62 |
59 |
$2K |
| D0240 |
|
37 |
25 |
$629.82 |