Dental
Tyger River Pediatric Dentistry
Tyger River Pediatric Dentistry was paid $3.89M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 19% of everything it billed.
33Billing provider infoTYGER RIVER PEDIATRIC DENTISTRY
LYMAN, SC 29365
LYMAN, SC 29365
33aNPI1013356161assigned 06/21/2013
33bProvider typePediatric Dentist
28Total paid$3.89M
24GClaims105,721
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#19 of 86
Median peer was paid$1.24M
This provider vs. median3.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,391 | $500K | |
| 2019 | 15,934 | $630K | |
| 2020 | 14,974 | $579K | |
| 2021 | 16,456 | $627K | |
| 2022 | 15,918 | $565K | |
| 2023 | 14,125 | $416K | |
| 2024incomplete | 14,923 | $573K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 5,883 | 2,619 | $753K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 16,726 | 16,726 | $583K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 15,712 | 15,712 | $367K |
| D1206 | Topical application of fluoride varnish | 9.1% | 21,668 | 21,668 | $355K |
| D1110 | Prophylaxis - adult | 6.6% | 5,123 | 5,123 | $258K |
| D7140 | Extraction, erupted tooth or exposed root | 6.0% | 2,568 | 1,341 | $235K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 4,646 | 4,646 | $192K |
| D0330 | Panoramic radiographic image | 4.4% | 3,355 | 3,355 | $169K |
| D0272 | Bitewings - two radiographic images | 4.3% | 8,714 | 8,714 | $166K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.1% | 4,965 | 4,697 | $161K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.8% | 1,396 | 981 | $110K |
| D0274 | Bitewings - four radiographic images | 2.6% | 3,603 | 3,603 | $101K |
12 more codes
| D2140 | 2.3% | 1,506 | $91K | |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 1,905 | $83K |
| D1351 | Sealant - per tooth | 1.5% | 1,918 | $57K |
| D7111 | 1.4% | 851 | $56K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 576 | $52K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,899 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 244 | $25K |
| D0140 | Limited oral evaluation - problem focused | <1% | 577 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 760 | $8K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 60 | $5K |
| D9920 | <1% | 52 | $3K | |
| D9310 | <1% | 14 | $882.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCOVINGTON, LENORA (OWNER/ DENTIST)