Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Family Dental Health of Mountain View, LLC

Family Dental Health of Mountain View, LLC was paid $17K by Medicaid between Mar 2019 and Oct 2023, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.

33Billing provider infoFAMILY DENTAL HEALTH OF MOUNTAIN VIEW, LLC
GREER, SC 29651
33aNPI1154885762assigned 01/28/2019
28Total paid$17K
24GClaims754
24DCodes billed5
24AFirst – last monthMar 2019 – Oct 2023
Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#225 of 331
Median peer was paid$75K
This provider vs. median0.2×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2019244$6K
2020141$3K
2021169$4K
2022137$3K
202363$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 46% 345 345 $8K
D1206 Topical application of fluoride varnish 28% 299 299 $5K
D1110 Prophylaxis - adult 16% 55 55 $3K
D0274 Bitewings - four radiographic images 6.9% 43 43 $1K
D1120 Dental cleaning, childProphylaxis - child 2.4% 12 12 $417.60

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 officialILLSLEY, BETH (DIRECTOR OF INSURANCE)
Parent organizationFDH HOLDINGS
Same official

Other billing entities under ILLSLEY, BETH

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.