Medicaid Provider Spending

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

MARSHLANDS FAMILY DENTISTRY,PA

NPI: 1568654275 · BEAUFORT, SC 29902 · General Practice Dentistry · NPI assigned 08/16/2007

$26K
Total Medicaid Paid
798
Total Claims
798
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialGURGANIOUS, VIRGIE (OFFICE MGR)
NPI Enumeration Date08/16/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 798 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 164 164 $8K
D0120 Periodic oral evaluation - established patient 170 170 $4K
D0330 Panoramic radiographic image 66 66 $3K
D0274 Bitewings - four radiographic images 111 111 $3K
D0140 Limited oral evaluation - problem focused 52 52 $2K
D1120 Prophylaxis - child 53 53 $2K
D0150 Comprehensive oral evaluation - new or established patient 42 42 $2K
D1206 Topical application of fluoride varnish 66 66 $1K
D1208 Topical application of fluoride, excluding varnish 61 61 $972.00
D0220 Intraoral - periapical first radiographic image 13 13 $153.96