Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ACUITY DENTAL - SDA LLC
NPI: 1962160705 · SUMMERVILLE, SC 29486 ·
1223G0001X
$29K
Total Medicaid Paid
1,158
Total Claims
1,144
Beneficiaries
9
Codes Billed
2022-04
First Month
2024-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
616
$16K
2023
387
$10K
2024
155
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
197
197
$9K
D0120
285
285
$6K
D0274
141
141
$4K
D1206
162
162
$3K
D0150
45
45
$2K
D0220
159
158
$2K
D0330
44
44
$2K
D2392
22
12
$2K
D0230
103
100
$827.73