Medicaid Provider Spending

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

KIDZ KORNER DENTISTRY LLC

NPI: 1881859163 · POOLER, GA 31322 · Pediatric Dentist · NPI assigned 07/25/2008

$10K
Total Medicaid Paid
497
Total Claims
497
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialHERRING, SHANA (DENTIST/OWNER)
NPI Enumeration Date07/25/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 164 $4K
2019 159 $4K
2020 61 $1K
2021 13 $210.60
2022 24 $470.40
2023 52 $1K
2024 24 $486.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 225 225 $4K
D0120 Periodic oral evaluation - established patient 128 128 $3K
D1120 Prophylaxis - child 70 70 $2K
D0272 Bitewings - two radiographic images 74 74 $1K