FAMILY DENTAL HEALTH OF EASLEY, LLC
NPI: 1346513801
· EASLEY, SC 29642
· 122300000X
$526K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$526.50 |
| 2019 |
4,650 |
$168K |
| 2020 |
5,553 |
$192K |
| 2021 |
4,888 |
$145K |
| 2022 |
897 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
808 |
466 |
$79K |
| D1110 |
|
1,428 |
1,428 |
$71K |
| D1120 |
|
1,272 |
1,272 |
$44K |
| D0140 |
|
1,106 |
1,104 |
$40K |
| D0150 |
|
990 |
990 |
$39K |
| D0274 |
|
1,307 |
1,307 |
$35K |
| D0330 |
|
664 |
664 |
$33K |
| D7140 |
|
367 |
199 |
$31K |
| D0120 |
|
1,373 |
1,373 |
$31K |
| D1206 |
|
1,896 |
1,896 |
$31K |
| D0220 |
|
1,704 |
1,688 |
$21K |
| D9230 |
|
632 |
532 |
$20K |
| D2391 |
|
127 |
86 |
$10K |
| D0240 |
|
697 |
354 |
$9K |
| D0230 |
|
940 |
670 |
$8K |
| D0272 |
|
417 |
417 |
$8K |
| D1351 |
|
181 |
56 |
$5K |
| D2393 |
|
40 |
28 |
$5K |
| D2930 |
|
27 |
12 |
$3K |
| D7210 |
|
13 |
12 |
$2K |
| D0145 |
|
12 |
12 |
$432.00 |