Medicaid Provider Spending

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

BENAVIDES, NICOLAS

NPI: 1881116002 · ANDERSON, SC 29621 · General Practice Dentistry · NPI assigned 07/10/2017

$7K
Total Medicaid Paid
147
Total Claims
89
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 147 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 76 18 $4K
D0210 Intraoral - complete series of radiographic images 25 25 $2K
D0150 Comprehensive oral evaluation - new or established patient 34 34 $1K
D1110 Prophylaxis - adult 12 12 $444.43