EDISTO DENTAL ASSOCIATES LLC
NPI: 1871779413
· ORANGEBURG, SC 29118
· 1223G0001X
$288K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,728 |
$72K |
| 2019 |
1,515 |
$38K |
| 2020 |
1,340 |
$34K |
| 2021 |
1,441 |
$37K |
| 2022 |
1,637 |
$45K |
| 2023 |
1,533 |
$37K |
| 2024 |
1,102 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,419 |
1,419 |
$71K |
| D0120 |
|
2,015 |
2,015 |
$46K |
| D1120 |
|
1,062 |
1,062 |
$37K |
| D0274 |
|
1,288 |
1,288 |
$35K |
| D1206 |
|
1,687 |
1,687 |
$28K |
| D0220 |
|
1,562 |
1,550 |
$20K |
| D0230 |
|
1,124 |
1,099 |
$11K |
| D2392 |
|
116 |
73 |
$11K |
| D0150 |
|
237 |
237 |
$9K |
| D0330 |
|
134 |
134 |
$7K |
| D1208 |
|
279 |
279 |
$4K |
| D1351 |
|
146 |
39 |
$4K |
| D0272 |
|
199 |
199 |
$4K |
| D0140 |
|
28 |
28 |
$1K |