CAROLINA CHILDREN'S DENTISTRY, LLC
NPI: 1528112398
· SUMTER, SC 29150
· 1223P0221X
$5.18M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
19,645 |
$647K |
| 2019 |
24,708 |
$799K |
| 2020 |
20,181 |
$651K |
| 2021 |
25,145 |
$852K |
| 2022 |
25,620 |
$817K |
| 2023 |
20,512 |
$552K |
| 2024 |
25,122 |
$859K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
22,447 |
22,447 |
$786K |
| D2930 |
|
5,439 |
1,962 |
$693K |
| D2392 |
|
5,566 |
3,213 |
$579K |
| D0120 |
|
21,853 |
21,853 |
$514K |
| D1208 |
|
25,791 |
25,791 |
$424K |
| D9230 |
|
8,432 |
8,370 |
$274K |
| D0272 |
|
14,255 |
14,255 |
$271K |
| D7140 |
|
1,746 |
1,014 |
$176K |
| D3220 |
|
2,074 |
984 |
$171K |
| D0220 |
|
11,820 |
11,759 |
$151K |
| D1351 |
|
4,844 |
1,460 |
$146K |
| D0240 |
|
7,391 |
7,339 |
$142K |
| D0230 |
|
14,350 |
6,767 |
$136K |
| D1110 |
|
2,675 |
2,675 |
$134K |
| D0330 |
|
3,020 |
3,020 |
$133K |
| D9248 |
|
1,364 |
1,362 |
$97K |
| D0140 |
|
2,351 |
2,340 |
$90K |
| D0145 |
|
1,663 |
1,663 |
$72K |
| D2391 |
|
834 |
612 |
$67K |
| D0274 |
|
1,754 |
1,754 |
$47K |
| D0150 |
|
751 |
751 |
$30K |
| D9420 |
|
236 |
236 |
$20K |
| D2150 |
|
226 |
116 |
$18K |
| D2932 |
|
35 |
13 |
$5K |
| D9992 |
|
16 |
16 |
$412.16 |