Medicaid Provider Spending

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

AFFINITY HEALTH CENTER

NPI: 1932690989 · ROCK HILL, SC 29730 · Dental Clinic/Center · NPI assigned 05/25/2018

$53K
Total Medicaid Paid
1,586
Total Claims
1,586
Beneficiaries
7
Codes Billed
2018-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMCCUTCHEON, HEATHER (CEO)
Parent OrganizationAFFINITY HEALTH CENTER
NPI Enumeration Date05/25/2018

Related Entities

Other providers sharing the same authorized official: MCCUTCHEON, HEATHER

ProviderCityStateTotal Paid
AFFINITY HEALTH CENTER ROCK HILL SC $4.78M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 152 $4K
2019 456 $15K
2020 99 $3K
2021 138 $5K
2022 329 $12K
2023 231 $8K
2024 181 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 627 627 $31K
D0120 Periodic oral evaluation - established patient 569 569 $13K
D1206 Topical application of fluoride varnish 246 246 $4K
D0330 Panoramic radiographic image 55 55 $3K
D0274 Bitewings - four radiographic images 62 62 $2K
D0150 Comprehensive oral evaluation - new or established patient 15 15 $604.10
D0220 Intraoral - periapical first radiographic image 12 12 $150.56