TIMMONSVILLE FAMILY DENTISTRY
NPI: 1992992937
· TIMMONSVILLE, SC 29161
· General Practice Dentistry
· NPI assigned 10/03/2007
$268K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ANDREWS, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,630 |
$48K |
| 2019 |
2,072 |
$59K |
| 2020 |
1,435 |
$40K |
| 2021 |
1,883 |
$53K |
| 2022 |
1,827 |
$54K |
| 2023 |
511 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,638 |
1,638 |
$82K |
| D0120 |
Periodic oral evaluation - established patient |
1,923 |
1,923 |
$43K |
| D0274 |
Bitewings - four radiographic images |
1,436 |
1,436 |
$39K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,900 |
1,900 |
$31K |
| D1120 |
Prophylaxis - child |
649 |
649 |
$23K |
| D0330 |
Panoramic radiographic image |
372 |
372 |
$17K |
| D0240 |
|
647 |
647 |
$12K |
| D0272 |
Bitewings - two radiographic images |
594 |
594 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
167 |
167 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
32 |
24 |
$3K |