Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAROLINA EMERGENCY DENTAL LLC

NPI: 1407593288 · ROCK HILL, SC 29732 · Dental Clinic/Center · NPI assigned 05/13/2022

$56K
Total Medicaid Paid
1,454
Total Claims
1,418
Beneficiaries
4
Codes Billed
2022-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALBU-SHAMAH, MUSTAFA (OWNER)
NPI Enumeration Date05/13/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 68 $4K
2023 769 $28K
2024 617 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 794 789 $29K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 139 112 $20K
D0220 Intraoral - periapical first radiographic image 508 504 $6K
D0330 Panoramic radiographic image 13 13 $651.17