Medicaid Provider Spending

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

NPI: 1841863628 · MAULDIN, SC 29662 · Dental Clinic/Center · NPI assigned 07/20/2021

$6K
Total Medicaid Paid
185
Total Claims
185
Beneficiaries
4
Codes Billed
2022-02
First Month
2022-06
Last Month

Provider Details

Authorized OfficialBAKER, ANGELA (OPERATIONS MANAGER)
NPI Enumeration Date07/20/2021

Related Entities

Other providers sharing the same authorized official: BAKER, ANGELA

ProviderCityStateTotal Paid
PODIATRY ASSOCIATES, P.A. BEL AIR MD $3.16M
CHERRYDALE DENTAL ASSOCIATES, LLC GREENVILLE SC $168K
PODIATRY ASSOCIATES, P.A. BALTIMORE MD $8K
PODIATRY ASSOCIATES, P.A. GLEN BURNIE MD $4K
PODIATRY ASSOCIATES, P.A. BALTIMORE MD $2K
PODIATRY ASSOCIATES, P.A. CATONSVILLE MD $1K
PODIATRY ASSOCIATES, P.A. LUTHERVILLE MD $835.53

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 185 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 55 55 $3K
D0150 Comprehensive oral evaluation - new or established patient 64 64 $2K
D0274 Bitewings - four radiographic images 53 53 $1K
D0220 Intraoral - periapical first radiographic image 13 13 $153.19