Medicaid Provider Spending

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

GAMBLE DENTALSMART PC

NPI: 1477922219 · MURRELLS INLET, SC 29576 · General Practice Dentistry · NPI assigned 09/23/2015

$21K
Total Medicaid Paid
572
Total Claims
547
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialGAMBLE, ROBERT (DENTIST/OWNER)
NPI Enumeration Date09/23/2015

Related Entities

Other providers sharing the same authorized official: GAMBLE, ROBERT

ProviderCityStateTotal Paid
INCORPORATION TO MAXIMIZE PERSONAL ACHIEVEMENT WITH COMMUNITY TRAINING PORT HURON MI $600K
GAMBLE DENTALSMART PC MANNING SC $63K
GAMBLE DENTALSMART PC SUMTER SC $47K
GAMBLE DENTALSMART PC ORANGEBURG SC $18K
GAMBLE DENTALSMART PC COLUMBIA SC $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 572 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 98 98 $5K
D0274 Bitewings - four radiographic images 142 142 $4K
D0330 Panoramic radiographic image 79 79 $4K
D0150 Comprehensive oral evaluation - new or established patient 82 82 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 33 14 $2K
D0140 Limited oral evaluation - problem focused 39 39 $1K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 19 13 $1K
D0220 Intraoral - periapical first radiographic image 80 80 $984.51