Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › SENECA › DRS HARE AND MARTIN PA

DRS HARE AND MARTIN PA

NPI: 1417058843 · SENECA, SC 29678 · General Practice Dentistry · NPI assigned 09/26/2006

$10K
Total Medicaid Paid
296
Total Claims
296
Beneficiaries
4
Codes Billed
2018-02
First Month
2021-05
Last Month

Provider Details

Authorized OfficialMARTIN, THEODORE (DENTIST)
NPI Enumeration Date09/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 182 $6K
2019 12 $276.00
2020 51 $2K
2021 51 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 83 83 $4K
D0120 Periodic oral evaluation - established patient 133 133 $3K
D0140 Limited oral evaluation - problem focused 68 68 $2K
D0272 Bitewings - two radiographic images 12 12 $227.28