Medicaid Provider Spending

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

NORTHWOOD DENTAL ASSOCIATES, LLC

NPI: 1598099178 · LEXINGTON, SC 29072 · Dentist · NPI assigned 09/29/2009

$33K
Total Medicaid Paid
1,189
Total Claims
1,183
Beneficiaries
5
Codes Billed
2018-05
First Month
2024-05
Last Month

Provider Details

Authorized OfficialRODGERS, BRIAN (OWNER / DENTIST)
NPI Enumeration Date09/29/2009

Related Entities

Other providers sharing the same authorized official: RODGERS, BRIAN

ProviderCityStateTotal Paid
BOUNTIFUL FAMILY HEALTHCARE BOUNTIFUL UT $317K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 72 $1K
2019 42 $762.00
2020 174 $4K
2021 323 $8K
2022 234 $6K
2023 261 $9K
2024 83 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 631 631 $14K
D9920 148 142 $7K
D1110 Prophylaxis - adult 174 174 $7K
D1208 Topical application of fluoride, excluding varnish 212 212 $3K
D1120 Prophylaxis - child 24 24 $717.60