Medicaid Provider Spending

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

GOLDEN CORNER DENTISTRY, LLC

NPI: 1447634597 · WEST UNION, SC 29696 · General Practice Dentistry · NPI assigned 07/17/2015

$2K
Total Medicaid Paid
57
Total Claims
57
Beneficiaries
2
Codes Billed
2018-05
First Month
2019-01
Last Month

Provider Details

Authorized OfficialBRUCE, JAMES (DENTIST/OWNER)
NPI Enumeration Date07/17/2015

Related Entities

Other providers sharing the same authorized official: BRUCE, JAMES

ProviderCityStateTotal Paid
212 THERAPY LLC BEAUMONT TX $23.95M
JACKSON EYE INSTITUTE PLLC JACKSON MS $375.88

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $598.00
2019 30 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 42 42 $939.60
D1110 Prophylaxis - adult 15 15 $756.00