Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › LORIS › DS DENTAL LLC

DS DENTAL LLC

NPI: 1417422064 · LORIS, SC 29569 · Dental Clinic/Center · NPI assigned 10/10/2018

$87K
Total Medicaid Paid
3,450
Total Claims
3,427
Beneficiaries
5
Codes Billed
2019-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialSPIGUZZA, LACEY (CFO)
NPI Enumeration Date10/10/2018

Related Entities

Other providers sharing the same authorized official: SPIGUZZA, LACEY

ProviderCityStateTotal Paid
DS DENTAL, LLC LORIS SC $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 998 $23K
2020 951 $24K
2021 505 $12K
2022 560 $16K
2023 284 $7K
2024 152 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 671 666 $33K
D0120 Periodic oral evaluation - established patient 1,334 1,327 $30K
D1206 Topical application of fluoride varnish 1,202 1,196 $19K
D0272 Bitewings - two radiographic images 167 167 $3K
D0274 Bitewings - four radiographic images 76 71 $2K