Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › COLUMBIA › NORTHEAST CHILDRENS DENTISTRY

NORTHEAST CHILDRENS DENTISTRY

NPI: 1598094138 · COLUMBIA, SC 29229 · 1223P0221X

$383K
Total Medicaid Paid
13,313
Total Claims
12,804
Beneficiaries
13
Codes Billed
2018-01
First Month
2022-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,413 $127K
2019 4,362 $136K
2020 1,717 $45K
2021 1,899 $48K
2022 922 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 2,080 2,080 $72K
D0120 2,548 2,548 $59K
D1208 3,072 3,070 $50K
D1110 965 963 $48K
D0272 2,475 2,473 $47K
D2392 328 187 $34K
D9248 454 396 $30K
D9230 767 692 $25K
D0240 438 233 $7K
D0150 101 99 $4K
D7140 42 26 $4K
D2930 18 12 $2K
D0145 25 25 $900.00