Dental
Grossman, David
Grossman, David was paid $166K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.
33Billing provider infoGROSSMAN, DAVID
KINGSTREE, SC 29556
KINGSTREE, SC 29556
33aNPI1144249970assigned 07/19/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$166K
24GClaims5,845
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#141 of 331
Median peer was paid$75K
This provider vs. median2.2×
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 | 1,060 | $30K | |
| 2019 | 956 | $26K | |
| 2020 | 749 | $22K | |
| 2021 | 694 | $21K | |
| 2022 | 899 | $26K | |
| 2023 | 840 | $24K | |
| 2024incomplete | 647 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 43% | 1,482 | 1,464 | $72K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 2,066 | 2,044 | $47K |
| D0272 | Bitewings - two radiographic images | 11% | 991 | 991 | $19K |
| D1206 | Topical application of fluoride varnish | 5.2% | 527 | 527 | $9K |
| D0274 | Bitewings - four radiographic images | 5.1% | 317 | 308 | $9K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 123 | 122 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 263 | 254 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.3% | 60 | 60 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 16 | 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.