Clinic
Little River Medical Center INC
Little River Medical Center INC was paid $3.95M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoLITTLE RIVER MEDICAL CENTER INC
LITTLE RIVER, SC 29566
LITTLE RIVER, SC 29566
33aNPI1053471623assigned 12/12/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.95M
24GClaims126,025
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#19 of 85
Median peer was paid$746K
This provider vs. median5.3×
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 | 17,137 | $547K | |
| 2019 | 21,221 | $739K | |
| 2020 | 13,123 | $457K | |
| 2021 | 18,192 | $549K | |
| 2022 | 20,723 | $580K | |
| 2023 | 20,167 | $594K | |
| 2024incomplete | 15,462 | $487K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 16,934 | 16,934 | $593K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 5,381 | 4,004 | $578K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 18,679 | 18,679 | $440K |
| D1110 | Prophylaxis - adult | 9.1% | 7,221 | 7,221 | $361K |
| D1206 | Topical application of fluoride varnish | 8.8% | 20,588 | 20,588 | $349K |
| D0272 | Bitewings - two radiographic images | 6.8% | 13,420 | 13,420 | $267K |
| D1351 | Sealant - per tooth | 6.5% | 8,487 | 2,838 | $255K |
| D0140 | Limited oral evaluation - problem focused | 5.8% | 6,125 | 6,111 | $231K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 5,570 | 5,570 | $229K |
| D0274 | Bitewings - four radiographic images | 5.2% | 7,763 | 7,763 | $204K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 1,871 | 1,476 | $151K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 9,129 | 9,080 | $118K |
10 more codes
| D0330 | Panoramic radiographic image | 1.7% | 1,370 | $68K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 438 | $37K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 196 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,506 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 535 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 60 | $8K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 140 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 54 | $7K |
| D1354 | <1% | 475 | $5K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 83 | $3K |
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 officialCRISWELL, AVANGELA (BUSINESS OFFICE DIRECTOR)
Parent organizationLITTLE RIVER MEDICAL CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Little River Medical Center, INC. | Myrtle Beach, SC | $665K |
| Little River Medical Center, INC. | Myrtle Beach, SC | $341K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.