SMILE CENTER OF KNIGHTSVILLE
NPI: 1558543249
· SUMMERVILLE, SC 29483
· 1223G0001X
$973.60
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16 |
$368.00 |
| 2023 |
12 |
$605.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
12 |
12 |
$605.60 |
| D0120 |
|
16 |
16 |
$368.00 |