Dental
Carolina Smile Dentistry, LLC
Carolina Smile Dentistry, LLC was paid $2K by Medicaid between Apr 2018 and Oct 2018, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 51% of everything it billed.
33Billing provider infoCAROLINA SMILE DENTISTRY, LLC
INDIAN LAND, SC 29707
INDIAN LAND, SC 29707
33aNPI1144674631assigned 04/20/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims85
24DCodes billed3
24AFirst – last monthApr 2018 – Oct 2018
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#298 of 331
Median peer was paid$75K
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 | 85 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 51% | 42 | 42 | $966.00 |
| D1206 | Topical application of fluoride varnish | 26% | 30 | 30 | $486.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 13 | 13 | $452.40 |
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 officialSETH, ANJALI (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Riverwalk Smile Dentistry, LLC | Rock Hill, SC | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.