Medicaid Provider Spending

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

NPI: 1720552524 · SUMMERVILLE, SC 29483 · General Practice Dentistry · NPI assigned 01/15/2019

$327K
Total Medicaid Paid
10,376
Total Claims
10,064
Beneficiaries
12
Codes Billed
2019-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBAZZLE, ANGELA (OPERATIONS MANAGER)
Parent OrganizationA. FREDERICK SOLOMON DMD P.A.
NPI Enumeration Date01/15/2019

Related Entities

Other providers sharing the same authorized official: BAZZLE, ANGELA

ProviderCityStateTotal Paid
SFD KIDS LLC SUMMERVILLE SC $2.45M
SOLOMON KIDS PEDIATRIC DENTISTRY KNIGHTSVILLE LLC SUMMERVILLE SC $1.30M
SOLOMON ORAL SURGERY LLC MOUNT PLEASANT SC $1.23M
SFD CARNES LLC SUMMERVILLE SC $588K
SFD MT. PLEASANT LLC MOUNT PLEASANT SC $337K
LIVE OAK ENDONTICS SUMMERVILLE SC $76K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 332 $9K
2020 1,194 $35K
2021 2,631 $92K
2022 2,775 $94K
2023 1,947 $53K
2024 1,497 $43K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,687 1,687 $81K
D0274 Bitewings - four radiographic images 1,676 1,676 $42K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 509 313 $39K
D0220 Intraoral - periapical first radiographic image 3,238 3,200 $39K
D0140 Limited oral evaluation - problem focused 990 986 $34K
D0150 Comprehensive oral evaluation - new or established patient 921 921 $34K
D0330 Panoramic radiographic image 620 620 $29K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 122 81 $12K
D0120 Periodic oral evaluation - established patient 384 384 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 84 61 $5K
D1206 Topical application of fluoride varnish 123 123 $2K
D7140 Extraction, erupted tooth or exposed root 22 12 $2K