FAMILY DENTAL HEALTH OF MAULDIN LLC
NPI: 1841548930
· MAULDIN, SC
$359K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
483 |
$19K |
| 2019 |
1,989 |
$74K |
| 2020 |
2,062 |
$76K |
| 2021 |
1,881 |
$65K |
| 2022 |
1,675 |
$51K |
| 2023 |
1,544 |
$40K |
| 2024 |
1,216 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,992 |
1,992 |
$100K |
| D0150 |
|
1,179 |
1,179 |
$47K |
| D0274 |
|
1,480 |
1,480 |
$39K |
| D2392 |
|
406 |
263 |
$37K |
| D1206 |
|
2,044 |
2,044 |
$33K |
| D0330 |
|
653 |
653 |
$31K |
| D0120 |
|
1,356 |
1,356 |
$30K |
| D1120 |
|
450 |
450 |
$16K |
| D0220 |
|
741 |
738 |
$9K |
| D2391 |
|
92 |
67 |
$6K |
| D0140 |
|
151 |
150 |
$5K |
| D0230 |
|
214 |
202 |
$2K |
| D0272 |
|
80 |
80 |
$1K |
| D2393 |
|
12 |
12 |
$1K |