SOLOMON KIDS PEDIATRIC DENTISTRY KNIGHTSVILLE LLC
NPI: 1770006876
· SUMMERVILLE, SC 29483
· 1223P0221X
$1.30M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,530 |
$33K |
| 2019 |
3,388 |
$93K |
| 2020 |
3,677 |
$129K |
| 2021 |
8,195 |
$289K |
| 2022 |
10,107 |
$354K |
| 2023 |
5,900 |
$158K |
| 2024 |
7,275 |
$250K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
5,963 |
5,963 |
$203K |
| D2392 |
|
1,628 |
919 |
$158K |
| D0120 |
|
5,814 |
5,814 |
$133K |
| D1206 |
|
8,059 |
8,059 |
$129K |
| D2930 |
|
981 |
333 |
$120K |
| D1110 |
|
1,837 |
1,837 |
$89K |
| D9230 |
|
2,369 |
2,205 |
$75K |
| D0272 |
|
3,922 |
3,922 |
$72K |
| D2391 |
|
821 |
557 |
$65K |
| D0150 |
|
1,432 |
1,432 |
$57K |
| D7140 |
|
650 |
330 |
$55K |
| D0274 |
|
1,422 |
1,422 |
$34K |
| D0220 |
|
2,502 |
2,487 |
$32K |
| D0330 |
|
782 |
782 |
$30K |
| D1351 |
|
686 |
220 |
$20K |
| D0140 |
|
456 |
455 |
$17K |
| D0145 |
|
209 |
209 |
$10K |
| D0230 |
|
508 |
365 |
$5K |
| D2393 |
|
19 |
13 |
$2K |
| D0240 |
|
12 |
12 |
$203.94 |