Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › GREENVILLE › CHERRYDALE DENTAL ASSOCIATES, LLC

CHERRYDALE DENTAL ASSOCIATES, LLC

NPI: 1881992840 · GREENVILLE, SC 29609 · General Practice Dentistry · NPI assigned 03/01/2011

$168K
Total Medicaid Paid
7,539
Total Claims
7,263
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBAKER, ANGELA (OPERATIONS MANAGER)
NPI Enumeration Date03/01/2011

Related Entities

Other providers sharing the same authorized official: BAKER, ANGELA

ProviderCityStateTotal Paid
PODIATRY ASSOCIATES, P.A. BEL AIR MD $3.16M
PODIATRY ASSOCIATES, P.A. BALTIMORE MD $8K
MAULDIN SQUARE DENTAL, LLC MAULDIN SC $6K
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
2018 1,102 $20K
2019 985 $20K
2020 1,046 $24K
2021 1,820 $40K
2022 968 $22K
2023 986 $25K
2024 632 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,048 1,048 $52K
D0120 Periodic oral evaluation - established patient 1,666 1,666 $38K
D0274 Bitewings - four radiographic images 930 930 $24K
D1206 Topical application of fluoride varnish 1,347 1,347 $22K
D0220 Intraoral - periapical first radiographic image 1,267 1,261 $16K
D0230 Intraoral - periapical each additional radiographic image 1,059 790 $9K
D1120 Prophylaxis - child 145 145 $5K
D0150 Comprehensive oral evaluation - new or established patient 19 19 $766.10
D1208 Topical application of fluoride, excluding varnish 44 44 $696.60
D0140 Limited oral evaluation - problem focused 14 13 $500.50