Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › HILTON HEAD ISLAND › OUTPATIENT SURGERY CENTER OF HILTON HEAD

OUTPATIENT SURGERY CENTER OF HILTON HEAD

NPI: 1619935483 · HILTON HEAD ISLAND, SC 29926 · Ambulatory Surgical Clinic/Center · NPI assigned 05/02/2006

$896K
Total Medicaid Paid
3,594
Total Claims
2,455
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-02
Last Month

Provider Details

Authorized OfficialTHOMAS, RICHARD (C.E.O.)
NPI Enumeration Date05/02/2006

Related Entities

Other providers sharing the same authorized official: THOMAS, RICHARD

ProviderCityStateTotal Paid
MOUNTAIN PINE DERMATOLOGY, PLLC MERIDIAN ID $1.22M
LIFE CHIROPRACTIC CENTER PA POST FALLS ID $148K
MEDICAL CENTER RADIOLOGISTS INC NORFOLK VA $870.73
IMAGING SERVICES OF WESTERN NEW YORK PC SPRINGVILLE NY $813.50

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,780 $514K
2019 444 $127K
2020 474 $78K
2021 823 $162K
2022 73 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 1,466 777 $455K
D7140 Extraction, erupted tooth or exposed root 444 333 $138K
D2391 Resin-based composite - one surface, posterior, primary or permanent 397 278 $96K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 378 303 $90K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 164 106 $37K
D1120 Prophylaxis - child 326 308 $36K
D1208 Topical application of fluoride, excluding varnish 272 230 $21K
D0150 Comprehensive oral evaluation - new or established patient 89 78 $16K
D2330 46 30 $9K
9 00 12 12 $0.00