Medicaid Provider Spending

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

ASHLEY DENTAL ASSOCIATES

NPI: 1508066242 · NORTH CHARLESTON, SC 29418 · Dentist · NPI assigned 07/20/2007

$67K
Total Medicaid Paid
2,484
Total Claims
2,465
Beneficiaries
8
Codes Billed
2018-02
First Month
2023-08
Last Month

Provider Details

Authorized OfficialNELSON, ROZE (OFFICE MANAGER)
NPI Enumeration Date07/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 498 $15K
2019 445 $13K
2020 160 $5K
2021 352 $8K
2022 567 $15K
2023 462 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 539 539 $23K
D0274 Bitewings - four radiographic images 739 739 $19K
D0140 Limited oral evaluation - problem focused 219 214 $8K
D0220 Intraoral - periapical first radiographic image 629 621 $8K
D0330 Panoramic radiographic image 77 77 $4K
D0150 Comprehensive oral evaluation - new or established patient 69 69 $3K
D0230 Intraoral - periapical each additional radiographic image 148 142 $1K
D0120 Periodic oral evaluation - established patient 64 64 $1K