STATE OF SOUTH CAROLINA
NPI: 1447317854
· COLUMBIA, SC 29201
· Public Health or Welfare Agency
· NPI assigned 01/03/2007
$10.40M
Total Medicaid Paid
Provider Details
| Authorized Official | GARREN, BETTY (DIRECTOR, THIRD PARTY ADMINISTRATIO) |
| NPI Enumeration Date | 01/03/2007 |
Related Entities
Other providers sharing the same authorized official: GARREN, BETTY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,358 |
$2.26M |
| 2019 |
11,532 |
$2.30M |
| 2020 |
4,041 |
$2.23M |
| 2021 |
2,299 |
$3.61M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
25,862 |
25,693 |
$5.29M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
2,034 |
2,028 |
$3.53M |
| D8680 |
|
1,322 |
1,320 |
$1.58M |
| D8060 |
|
12 |
12 |
$4K |