Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › MANNING › CLARENDON FAMILY DENTISTRY INC

CLARENDON FAMILY DENTISTRY INC

NPI: 1740445253 · MANNING, SC 29102 · Dentist · NPI assigned 07/23/2008

$26K
Total Medicaid Paid
958
Total Claims
958
Beneficiaries
4
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEE, DEREK (OWNER)
NPI Enumeration Date07/23/2008

Related Entities

Other providers sharing the same authorized official: LEE, DEREK

ProviderCityStateTotal Paid
PERRYSBURG COUNSELING SERVICES, LLC PERRYSBURG OH $1.31M
YIU FUN DEREK LEE MD INC HACIENDA HEIGHTS CA $24K
METROPOLITAN EAR NOSE AND THROAT & FACIAL PLASTIC SURGERY PA LIVINGSTON NJ $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 199 $5K
2019 249 $7K
2020 46 $1K
2021 111 $3K
2022 163 $5K
2023 124 $3K
2024 66 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 508 508 $11K
D1110 Prophylaxis - adult 229 229 $11K
D1208 Topical application of fluoride, excluding varnish 190 190 $3K
D0272 Bitewings - two radiographic images 31 31 $580.34