Medicaid Provider Spending

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

SEDALIA DENTAL - DR. KATHERINE CARROLL, DMD, INC.

NPI: 1942509179 · GROVEPORT, OH 43125 · General Practice Dentistry · NPI assigned 03/28/2011

$17K
Total Medicaid Paid
899
Total Claims
896
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialCARROLL, KATHERINE (PRESIDENT/DENTIST)
NPI Enumeration Date03/28/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 899 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 120 120 $4K
D0120 Periodic oral evaluation - established patient 221 220 $4K
D1120 Prophylaxis - child 159 158 $3K
D1206 Topical application of fluoride varnish 179 178 $3K
D0150 Comprehensive oral evaluation - new or established patient 64 64 $2K
D0274 Bitewings - four radiographic images 66 66 $1K
D0272 Bitewings - two radiographic images 90 90 $880.00