Dental
Clifford, Charu
Clifford, Charu was paid $6K by Medicaid between Jul 2021 and Apr 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.
33Billing provider infoCLIFFORD, CHARU
BENNETTSVILLE, SC 29512
BENNETTSVILLE, SC 29512
33aNPI1093381220assigned 05/28/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$6K
24GClaims278
24DCodes billed6
24AFirst – last monthJul 2021 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#267 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 | |
|---|---|---|---|
| 2021 | 14 | $318.60 | |
| 2023 | 228 | $5K | |
| 2024incomplete | 36 | $680.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 86 | 86 | $2K |
| D1206 | Topical application of fluoride varnish | 24% | 87 | 87 | $1K |
| D1110 | Prophylaxis - adult | 21% | 24 | 24 | $1K |
| D0274 | Bitewings - four radiographic images | 7.6% | 16 | 16 | $448.00 |
| D0220 | Intraoral - periapical first radiographic image | 7.5% | 34 | 34 | $442.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 31 | 31 | $341.00 |
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.