Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › TRAVELERS REST › CAROLINA OAKS TRAVELERS REST, LLC

CAROLINA OAKS TRAVELERS REST, LLC

NPI: 1811234933 · TRAVELERS REST, SC 29690 · General Practice Dentistry · NPI assigned 01/09/2013

$75K
Total Medicaid Paid
3,048
Total Claims
3,048
Beneficiaries
8
Codes Billed
2018-01
First Month
2022-05
Last Month

Provider Details

Authorized OfficialWORKMAN, MARC (MEMBER)
NPI Enumeration Date01/09/2013

Related Entities

Other providers sharing the same authorized official: WORKMAN, MARC

ProviderCityStateTotal Paid
CHILDRENS DENTISTRY OF GREENVILLE GREENVILLE SC $2.92M
G.P. CARTER, PSC LOUISA KY $128K
CAROLINA OAKS CLEMSON LLC CLEMSON SC $463.60
CAROLINA OAKS OCONEE, LLC WEST UNION SC $269.20

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 481 $11K
2019 834 $22K
2020 751 $19K
2021 662 $16K
2022 320 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 931 931 $21K
D1120 Prophylaxis - child 595 595 $21K
D1206 Topical application of fluoride varnish 1,201 1,201 $19K
D1110 Prophylaxis - adult 241 241 $12K
D0150 Comprehensive oral evaluation - new or established patient 29 29 $1K
D0330 Panoramic radiographic image 12 12 $600.99
D0272 Bitewings - two radiographic images 26 26 $492.44
D0274 Bitewings - four radiographic images 13 13 $357.63