Dental
D. Calvin Riley JR. DMD PA
D. Calvin Riley JR. DMD PA was paid $24K by Medicaid between Jan 2018 and May 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.
33Billing provider infoD. CALVIN RILEY JR. DMD PA
NORTH MYRTLE BEACH, SC 29582
NORTH MYRTLE BEACH, SC 29582
33aNPI1013964147assigned 05/26/2006
33bProvider typeDentist
28Total paid$24K
24GClaims803
24DCodes billed6
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#103 of 166
Median peer was paid$67K
This provider vs. median0.4×
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 | 144 | $4K | |
| 2019 | 174 | $5K | |
| 2020 | 81 | $3K | |
| 2021 | 134 | $4K | |
| 2022 | 97 | $3K | |
| 2023 | 135 | $3K | |
| 2024incomplete | 38 | $632.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 45% | 214 | 214 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 45% | 460 | 460 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 29 | 29 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 63 | 62 | $799.58 |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 25 | 25 | $412.50 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $227.28 |
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 officialRILEY, DON (DENTIST OWNER)