Dental
Mid-Carolina Dental Care, INC
Mid-Carolina Dental Care, INC was paid $194.40 by Medicaid between Nov 2018 and Nov 2018, across 1 billing code. Its largest line is D1208, Topical application of fluoride, excluding varnish — 100% of everything it billed.
33Billing provider infoMID-CAROLINA DENTAL CARE, INC
PROSPERITY, SC 29127
PROSPERITY, SC 29127
33aNPI1073050639assigned 01/20/2017
33bProvider typeDentist
28Total paid$194.40
24GClaims12
24DCodes billed1
24AFirst – last monthNov 2018 – Nov 2018
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#161 of 166
Median peer was paid$67K
This provider vs. median0.0×
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 | 12 | $194.40 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 100% | 12 | 12 | $194.40 |
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 officialLAKE, JOHN (GENERAL DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Newberry Dental, PC | Newberry, SC | $58K |
| John F Lake DDS & Deborah Starr | Ontario, OR | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.