NPI: 1689227381 · MAULDIN, SC 29662 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 4,458 | $176K |
| 2021 | 11,045 | $404K |
| 2022 | 12,097 | $399K |
| 2023 | 9,433 | $255K |
| 2024 | 9,701 | $308K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 7,029 | 7,029 | $243K | |
| D0120 | 6,928 | 6,928 | $164K | |
| D2392 | 1,434 | 932 | $143K | |
| D1206 | 8,438 | 8,438 | $138K | |
| D2930 | 1,026 | 345 | $121K | |
| D2391 | 1,413 | 789 | $112K | |
| D7140 | 1,110 | 607 | $103K | |
| D1110 | 2,003 | 2,003 | $100K | |
| D0150 | 1,785 | 1,785 | $72K | |
| D9230 | 1,775 | 1,742 | $56K | |
| D0272 | 2,942 | 2,942 | $56K | |
| D0330 | 748 | 748 | $37K | |
| D0220 | 2,902 | 2,884 | $37K | |
| D0140 | 953 | 948 | $36K | |
| D1351 | 1,211 | 401 | $35K | |
| D0230 | 3,394 | 1,433 | $35K | |
| D9420 | 182 | 182 | $15K | |
| D0240 | 998 | 873 | $15K | |
| D9310 | 128 | 128 | $8K | |
| D2330 | 83 | 40 | $6K | |
| D0145 | 116 | 116 | $4K | |
| D0274 | 97 | 97 | $3K | |
| D2332 | 22 | 12 | $2K | |
| D0210 | 17 | 17 | $1K |