Clinic
Palmetto Surgery Center LLC
Palmetto Surgery Center LLC was paid $4.60M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 34% of everything it billed.
33Billing provider infoPALMETTO SURGERY CENTER LLC
COLUMBIA, SC 29223
COLUMBIA, SC 29223
33aNPI1073505038assigned 08/16/2005
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$4.60M
24GClaims16,100
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in South Carolina
Rank by total paid#3 of 38
Median peer was paid$106K
This provider vs. median44×
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 | 3,110 | $994K | |
| 2019 | 2,975 | $883K | |
| 2020 | 2,196 | $596K | |
| 2021 | 1,909 | $542K | |
| 2022 | 1,879 | $519K | |
| 2023 | 2,233 | $610K | |
| 2024incomplete | 1,798 | $458K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 34% | 3,301 | 2,714 | $1.56M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 19% | 2,870 | 1,747 | $878K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 17% | 3,402 | 1,811 | $766K |
| D7140 | Extraction, erupted tooth or exposed root | 7.9% | 1,280 | 1,109 | $363K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.3% | 1,999 | 1,858 | $199K |
| D2934 | 3.5% | 431 | 349 | $163K | |
| 42830 | 2.8% | 327 | 317 | $127K | |
| D2330 | 2.6% | 456 | 407 | $120K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 2.4% | 271 | 264 | $111K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 356 | 308 | $97K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 324 | 291 | $78K |
| D2932 | <1% | 126 | 101 | $43K |
8 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 335 | $35K |
| 31622 | <1% | 290 | $28K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 235 | $10K |
| D2929 | <1% | 26 | $9K | |
| D2332 | <1% | 33 | $7K | |
| D1351 | Sealant - per tooth | <1% | 13 | $4K |
| D1510 | <1% | 13 | $2K | |
| D0120 | Dental checkup, returning patient | <1% | 12 | $1K |
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 officialBRILL, ALAN (MANAGING OWNER)