Dental
Charleston Endodontics LLC
Charleston Endodontics LLC was paid $43K by Medicaid between Apr 2021 and Jun 2023, across 4 billing codes. Its largest line is D9310, — 44% of everything it billed.
33Billing provider infoCHARLESTON ENDODONTICS LLC
SUMMERVILLE, SC 29483
SUMMERVILLE, SC 29483
33aNPI1144825993assigned 12/01/2020
33bProvider typeEndodontist
28Total paid$43K
24GClaims872
24DCodes billed4
24AFirst – last monthApr 2021 – Jun 2023
Compared with peers
Next to other Endodontist providers in South Carolina
Rank by total paid#15 of 19
Median peer was paid$773K
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 | 102 | $2K | |
| 2022 | 356 | $15K | |
| 2023 | 414 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9310 | 44% | 326 | 325 | $19K | |
| D0364 | 43% | 136 | 136 | $18K | |
| D0220 | Intraoral - periapical first radiographic image | 11% | 369 | 369 | $5K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 41 | 41 | $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 officialMASON, GINA (PRACTICE MANAGER)