NORTHEAST FAMILY DENTISTRY
NPI: 1912125782
· COLUMBIA, SC 29223
· 122300000X
$327K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,921 |
$57K |
| 2019 |
1,713 |
$49K |
| 2020 |
1,323 |
$39K |
| 2021 |
2,318 |
$82K |
| 2022 |
1,865 |
$51K |
| 2023 |
1,252 |
$33K |
| 2024 |
620 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,825 |
1,825 |
$87K |
| D0274 |
|
1,885 |
1,885 |
$49K |
| D0120 |
|
2,005 |
2,005 |
$43K |
| D1208 |
|
1,535 |
1,535 |
$24K |
| D0330 |
|
537 |
537 |
$24K |
| D1120 |
|
509 |
509 |
$17K |
| D0150 |
|
432 |
432 |
$17K |
| D0220 |
|
1,313 |
1,222 |
$15K |
| D2393 |
|
127 |
77 |
$14K |
| D0140 |
|
366 |
355 |
$12K |
| D2392 |
|
70 |
50 |
$7K |
| D9230 |
|
142 |
133 |
$4K |
| D7140 |
|
40 |
26 |
$3K |
| D0272 |
|
134 |
134 |
$3K |
| D2394 |
|
14 |
12 |
$2K |
| D2160 |
|
16 |
12 |
$1K |
| D2150 |
|
18 |
12 |
$1K |
| D2161 |
|
17 |
14 |
$1K |
| D1206 |
|
12 |
12 |
$194.40 |
| D0230 |
|
15 |
13 |
$128.27 |