Kingstree Family Dentisry LLC
Kingstree Family Dentisry LLC was paid $577K by Medicaid between Jan 2018 and Sep 2021, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
KINGSTREE, SC 29556
Next to other Dental Clinic/Center providers in South Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,597 | $120K | |
| 2019 | 4,755 | $172K | |
| 2020 | 4,471 | $171K | |
| 2021 | 3,252 | $113K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 1,848 | 1,848 | $91K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 906 | 601 | $87K |
| D0330 | Panoramic radiographic image | 9.4% | 1,097 | 1,097 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 2,209 | 2,209 | $50K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.1% | 1,349 | 1,349 | $47K |
| D0272 | Bitewings - two radiographic images | 7.8% | 2,380 | 2,380 | $45K |
| D1206 | Topical application of fluoride varnish | 7.3% | 2,608 | 2,608 | $42K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 495 | 295 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 769 | 769 | $30K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.5% | 143 | 81 | $20K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 536 | 531 | $20K |
| D0274 | Bitewings - four radiographic images | 2.7% | 572 | 572 | $15K |
6 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 154 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 346 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 461 | $6K |
| D1351 | Sealant - per tooth | <1% | 158 | $5K |
| D0160 | <1% | 29 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | $2K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Northern California Cancer Center | Modesto, CA | $39.95M |
| Arkansas Children's Medical Group PLLC | Little Rock, AR | $16.05M |
| Wayne County Dental Associates LLC | Richmond, IN | $1.66M |
| Cheryl G Williams DO PC | Mount Vernon, MO | $1.49M |
| Roadrunner Radiology Equipment, LLC | Bastrop, TX | $969K |
| Direct Medical Supplies, LLC | Memphis, TN | $768K |
| Geriatric Neuropsychiatry Services, PLLC | Durham, NC | $484K |
| Village of Elmsford | Elmsford, NY | $67K |
| Arkansas Children's Medical Group PLLC | Rogers, AR | $22K |
| Socastee Eye Clinic INC | Myrtle Beach, SC | $10K |
| Lone Star House Call Physicians, LLC | Bastrop, TX | $5K |
| Bluefield Regional Medical Center | Bluefield, WV | $3K |
| Southwest Radiological Consultants LLC | Liberal, KS | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.