Medicaid Provider Spending

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

DS DENTAL, LLC

NPI: 1811968159 · LORIS, SC 29569 · 261QD0000X

$40K

Total Medicaid Paid

1,627

Total Claims

1,624

Beneficiaries

6

Codes Billed

2018-01

First Month

2018-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	1,627	$40K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		280	279	$13K
D0120		550	549	$13K
D1206		535	534	$9K
D0272		183	183	$3K
D1120		54	54	$2K
D0274		25	25	$687.75