Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › JOHNSONVILLE › CAROL A. BAKER, DMD, PA

CAROL A. BAKER, DMD, PA

NPI: 1518355080 · JOHNSONVILLE, SC 29555 · Dental Clinic/Center · NPI assigned 01/06/2015

$119K
Total Medicaid Paid
4,719
Total Claims
4,719
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBAKER, CAROL (PRESIDENT)
NPI Enumeration Date01/06/2015

Related Entities

Other providers sharing the same authorized official: BAKER, CAROL

ProviderCityStateTotal Paid
URBANA SCHOOL DISTRICT NO 116 URBANA IL $923K
ADVANCED PROSTHETICS, INC COLUMBIA SC $1K
ADVANCED PROSTHETICS INC. GREENVILLE SC $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,402 $34K
2019 1,039 $25K
2020 539 $13K
2021 995 $27K
2022 247 $6K
2023 319 $8K
2024 178 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,785 1,785 $41K
D1110 Prophylaxis - adult 533 533 $27K
D1208 Topical application of fluoride, excluding varnish 1,086 1,086 $17K
D1120 Prophylaxis - child 419 419 $15K
D0272 Bitewings - two radiographic images 705 705 $13K
D0330 Panoramic radiographic image 95 95 $5K
D0274 Bitewings - four radiographic images 40 40 $1K
D1206 Topical application of fluoride varnish 56 56 $924.00