WOOLEY FAMILY DENTISTRY
NPI: 1508069006
· SUMMERVILLE, SC 29483
· 1223G0001X
$515K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,962 |
$108K |
| 2019 |
2,705 |
$100K |
| 2020 |
1,567 |
$62K |
| 2021 |
1,748 |
$67K |
| 2022 |
2,146 |
$80K |
| 2023 |
1,582 |
$50K |
| 2024 |
1,373 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
3,076 |
3,031 |
$153K |
| D2392 |
|
1,068 |
643 |
$98K |
| D0120 |
|
2,939 |
2,903 |
$65K |
| D0330 |
|
898 |
886 |
$42K |
| D0274 |
|
1,241 |
1,226 |
$33K |
| D0272 |
|
1,585 |
1,552 |
$29K |
| D2391 |
|
286 |
209 |
$21K |
| D1208 |
|
1,162 |
1,139 |
$19K |
| D0140 |
|
440 |
437 |
$16K |
| D0150 |
|
369 |
360 |
$15K |
| D1120 |
|
254 |
244 |
$9K |
| D2393 |
|
46 |
36 |
$5K |
| D0220 |
|
405 |
401 |
$5K |
| D1206 |
|
286 |
275 |
$5K |
| D0230 |
|
28 |
25 |
$287.77 |