Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › ST MATTHEWS › EARL B HARTZOG DMD PA

EARL B HARTZOG DMD PA

NPI: 1548792617 · ST MATTHEWS, SC 29135 · General Practice Dentistry · NPI assigned 03/29/2017

$2K
Total Medicaid Paid
62
Total Claims
62
Beneficiaries
5
Codes Billed
2019-08
First Month
2021-06
Last Month

Provider Details

Authorized OfficialHARTZOG, EARL (OWNER)
Parent OrganizationEARL B HARTZOG DMD PA
NPI Enumeration Date03/29/2017

Related Entities

Other providers sharing the same authorized official: HARTZOG, EARL

ProviderCityStateTotal Paid
EARL B HARTZOG DMD PA DENMARK SC $343K
EARL B HARTZOG DMD PA DENMARK SC $272K
EARL B HARTZOG DMD PA BAMBERG SC $196K
EARL B HARTZOG DMD PA ORANGEBURG SC $103K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $259.00
2020 26 $704.73
2021 24 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 12 12 $601.40
D0150 Comprehensive oral evaluation - new or established patient 14 14 $563.60
D0140 Limited oral evaluation - problem focused 12 12 $406.50
D0120 Periodic oral evaluation - established patient 12 12 $259.00
D0220 Intraoral - periapical first radiographic image 12 12 $141.13