Medicaid Provider Spending

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

NEW KIDS DENTAL

NPI: 1982468153 · ROCK HILL, SC 29732 · Pediatric Dentist · NPI assigned 02/08/2024

$7K
Total Medicaid Paid
266
Total Claims
247
Beneficiaries
7
Codes Billed
2024-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAN HO, THU (DENTIST)
NPI Enumeration Date02/08/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 266 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 39 39 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 40 39 $1K
D0220 Intraoral - periapical first radiographic image 53 53 $795.00
D0230 Intraoral - periapical each additional radiographic image 61 43 $793.00
D1120 Prophylaxis - child 20 20 $760.00
D1206 Topical application of fluoride varnish 37 37 $703.00
D0272 Bitewings - two radiographic images 16 16 $336.00