Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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GOOSE CREEK DENTAL CARE LLC

NPI: 1992094536 · GOOSE CREEK, SC 29445 · General Practice Dentistry · NPI assigned 04/05/2011

$815.40
Total Medicaid Paid
29
Total Claims
29
Beneficiaries
2
Codes Billed
2021-03
First Month
2021-03
Last Month

Provider Details

Authorized OfficialBARGANIER, JASON (OWNER)
NPI Enumeration Date04/05/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 29 $815.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 14 14 $604.80
D1208 Topical application of fluoride, excluding varnish 15 15 $210.60