Dental
Clinton Dental Care LLC
Clinton Dental Care LLC was paid $48K by Medicaid between Jun 2020 and Dec 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoCLINTON DENTAL CARE LLC
CLINTON, SC 29325
CLINTON, SC 29325
33aNPI1063614469assigned 06/05/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$48K
24GClaims1,826
24DCodes billed8
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#188 of 331
Median peer was paid$75K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2020 | 108 | $3K | |
| 2021 | 83 | $2K | |
| 2022 | 298 | $7K | |
| 2023 | 628 | $16K | |
| 2024incomplete | 709 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 499 | 499 | $12K |
| D1206 | Topical application of fluoride varnish | 24% | 683 | 683 | $11K |
| D1110 | Prophylaxis - adult | 21% | 197 | 197 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 196 | 196 | $7K |
| D0274 | Bitewings - four radiographic images | 9.8% | 167 | 167 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 46 | 46 | $2K |
| D0330 | Panoramic radiographic image | 1.0% | 13 | 13 | $495.19 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 25 | 25 | $405.00 |
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 officialDERRICK, KRISTIN (DENTIST)