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CHILDRENS DENTAL GROUP OF SOUTH CAROLINA
CHILDRENS DENTAL GROUP OF SOUTH CAROLINA
NPI: 1417100371
· IRMO, SC 29063
· 1223G0001X
$5.67M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25,789 |
$1.11M |
| 2019 |
28,605 |
$1.28M |
| 2020 |
23,854 |
$1.06M |
| 2021 |
23,628 |
$841K |
| 2022 |
24,965 |
$896K |
| 2023 |
17,786 |
$491K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
5,769 |
3,776 |
$584K |
| D2930 |
|
4,585 |
2,121 |
$567K |
| D1120 |
|
15,308 |
15,308 |
$530K |
| D9248 |
|
6,649 |
6,560 |
$435K |
| D0120 |
|
18,816 |
18,816 |
$430K |
| D9230 |
|
11,946 |
11,760 |
$378K |
| D3220 |
|
4,594 |
1,959 |
$370K |
| D1206 |
|
21,883 |
21,883 |
$354K |
| D1110 |
|
6,527 |
6,527 |
$323K |
| D2391 |
|
3,603 |
2,529 |
$277K |
| D7140 |
|
3,088 |
2,034 |
$256K |
| D0272 |
|
12,837 |
12,837 |
$241K |
| D2934 |
|
1,384 |
536 |
$173K |
| D0274 |
|
6,109 |
6,109 |
$166K |
| D0330 |
|
2,497 |
2,497 |
$122K |
| D0220 |
|
8,394 |
8,349 |
$107K |
| D0150 |
|
2,636 |
2,636 |
$106K |
| D1351 |
|
2,356 |
683 |
$69K |
| D0140 |
|
1,809 |
1,799 |
$69K |
| D0145 |
|
897 |
897 |
$34K |
| D2393 |
|
255 |
211 |
$31K |
| D0230 |
|
2,534 |
2,516 |
$27K |
| D1510 |
|
111 |
105 |
$19K |
| D2330 |
|
40 |
29 |
$3K |