Medicaid Provider Spending

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

NPI: 1922264787 · CHARLOTTE, NC 28277 · Dental Clinic/Center · NPI assigned 07/31/2008

$2K
Total Medicaid Paid
201
Total Claims
123
Beneficiaries
2
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialCOOK, ELIZABETH (OWNER)
NPI Enumeration Date07/31/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75 $1K
2019 38 $524.88
2022 88 $437.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 90 56 $1K
D1206 Topical application of fluoride varnish 111 67 $796.16