Medicaid Provider Spending

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

CHILDSMILES DENTAL, INC.

NPI: 1750020624 · MULLINS, SC 29574 · Dental Clinic/Center · NPI assigned 05/31/2022

$40K
Total Medicaid Paid
1,450
Total Claims
1,277
Beneficiaries
4
Codes Billed
2024-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMASON, CHANDA (PRESIDENT)
NPI Enumeration Date05/31/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,450 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 593 593 $21K
D1206 Topical application of fluoride varnish 609 609 $11K
D1351 Sealant - per tooth 233 60 $7K
D1110 Prophylaxis - adult 15 15 $757.50