STODDARD, THOMAS
NPI: 1821173071
· GREENWOOD, SC 29649
· General Practice Dentistry
· NPI assigned 10/26/2006
$128K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
897 |
$27K |
| 2019 |
877 |
$26K |
| 2020 |
702 |
$22K |
| 2021 |
660 |
$21K |
| 2022 |
557 |
$16K |
| 2023 |
413 |
$12K |
| 2024 |
152 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,170 |
1,170 |
$57K |
| D0120 |
Periodic oral evaluation - established patient |
1,543 |
1,543 |
$33K |
| D0274 |
Bitewings - four radiographic images |
712 |
712 |
$19K |
| D1206 |
Topical application of fluoride varnish |
556 |
556 |
$9K |
| D1120 |
Prophylaxis - child |
239 |
239 |
$8K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
25 |
13 |
$2K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$597.68 |