Carolina Avenue Dental

Carolina Avenue Dental was paid $11K by Medicaid between Feb 2018 and Jun 2018, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.

33Billing provider infoCAROLINA AVENUE DENTAL
MONCKS CORNER, SC 29461

33aNPI1023116019assigned 09/21/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$11K

24GClaims504

24DCodes billed8

24AFirst – last monthFeb 2018 – Jun 2018

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#241 of 331

Median peer was paid$75K

This provider vs. median0.1×

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	504	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	25%	61	61	$3K
D0274	Bitewings - four radiographic images	23%	101	101	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	98	98	$2K
D1206	Topical application of fluoride varnish	11%	80	80	$1K
D0220	Intraoral - periapical first radiographic image	9.5%	86	86	$1K
D0330	Panoramic radiographic image	6.0%	13	13	$651.17
D0230	Intraoral - periapical each additional radiographic image	4.4%	53	53	$484.15
D1120	Dental cleaning, childProphylaxis - child	2.9%	12	12	$313.20

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 officialPIPKIN, GLORIA (PRESIDENT)