Medicaid Provider Spending

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

BERKELEY FAMILY DENTISTRY LLC

NPI: 1679984942 · MONCKS CORNER, SC 29461 · Dentist · NPI assigned 05/08/2014

$14K
Total Medicaid Paid
533
Total Claims
533
Beneficiaries
4
Codes Billed
2018-10
First Month
2022-11
Last Month

Provider Details

Authorized OfficialHORTON, STEPHEN (OWNER)
NPI Enumeration Date05/08/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $322.00
2019 130 $4K
2020 174 $4K
2021 185 $5K
2022 29 $548.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 193 193 $4K
D1110 Prophylaxis - adult 84 84 $4K
D0274 Bitewings - four radiographic images 109 109 $3K
D1206 Topical application of fluoride varnish 147 147 $2K