Medicaid Provider Spending

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

GAMBLE DENTALSMART PC

NPI: 1962861989 · COLUMBIA, SC 29212 · General Practice Dentistry · NPI assigned 02/18/2016

$3K
Total Medicaid Paid
117
Total Claims
115
Beneficiaries
5
Codes Billed
2018-03
First Month
2018-06
Last Month

Provider Details

Authorized OfficialGAMBLE, ROBERT (DENTIST/OWNER)
NPI Enumeration Date02/18/2016

Related Entities

Other providers sharing the same authorized official: GAMBLE, ROBERT

ProviderCityStateTotal Paid
INCORPORATION TO MAXIMIZE PERSONAL ACHIEVEMENT WITH COMMUNITY TRAINING PORT HURON MI $600K
GAMBLE DENTALSMART PC MANNING SC $63K
GAMBLE DENTALSMART PC SUMTER SC $47K
GAMBLE DENTALSMART PC MURRELLS INLET SC $21K
GAMBLE DENTALSMART PC ORANGEBURG SC $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 117 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 30 30 $1K
D0150 Comprehensive oral evaluation - new or established patient 20 20 $810.00
D0274 Bitewings - four radiographic images 18 18 $495.18
D0220 Intraoral - periapical first radiographic image 32 30 $396.45
D0230 Intraoral - periapical each additional radiographic image 17 17 $166.39