Medicaid Provider Spending

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

C & S DENTAL INC.

NPI: 1528455938 · COLUMBUS, IN 47201 · General Practice Dentistry · NPI assigned 04/23/2015

$5K
Total Medicaid Paid
285
Total Claims
222
Beneficiaries
4
Codes Billed
2018-08
First Month
2022-06
Last Month

Provider Details

Authorized OfficialCARBAJAL, WALTER (OWNER)
NPI Enumeration Date04/23/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16 $0.00
2019 19 $358.24
2020 75 $980.66
2021 97 $2K
2022 78 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 117 92 $2K
D1208 Topical application of fluoride, excluding varnish 115 88 $2K
D1110 Prophylaxis - adult 33 29 $1K
D1120 Prophylaxis - child 20 13 $276.00