CHEROKEE GENERAL DENTISTRY
NPI: 1487669123
· GAFFNEY, SC 29340
· General Practice Dentistry
· NPI assigned 07/30/2006
$176K
Total Medicaid Paid
Provider Details
| Authorized Official | VINESETT, ANGIE (OFFICE MANAGER) |
| NPI Enumeration Date | 07/30/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,223 |
$33K |
| 2019 |
1,150 |
$31K |
| 2020 |
753 |
$20K |
| 2021 |
969 |
$27K |
| 2022 |
939 |
$27K |
| 2023 |
762 |
$22K |
| 2024 |
542 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,416 |
1,416 |
$71K |
| D0120 |
Periodic oral evaluation - established patient |
2,193 |
2,193 |
$50K |
| D1206 |
Topical application of fluoride varnish |
1,564 |
1,564 |
$26K |
| D0272 |
Bitewings - two radiographic images |
733 |
733 |
$14K |
| D1120 |
Prophylaxis - child |
364 |
364 |
$13K |
| D0330 |
Panoramic radiographic image |
68 |
68 |
$3K |