Dental
Palmetto Kids Dentistry
Palmetto Kids Dentistry was paid $2.58M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoPALMETTO KIDS DENTISTRY
SUMMERVILLE, SC 29483
SUMMERVILLE, SC 29483
33aNPI1164843918assigned 12/20/2013
33bProvider typeDentist
28Total paid$2.58M
24GClaims81,371
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#4 of 166
Median peer was paid$67K
This provider vs. median39×
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 | 9,475 | $308K | |
| 2019 | 11,312 | $370K | |
| 2020 | 11,127 | $342K | |
| 2021 | 13,045 | $415K | |
| 2022 | 13,118 | $414K | |
| 2023 | 11,746 | $335K | |
| 2024incomplete | 11,548 | $398K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 11,997 | 11,997 | $418K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 3,143 | 1,579 | $322K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 13,581 | 13,581 | $317K |
| D1110 | Prophylaxis - adult | 9.5% | 4,870 | 4,870 | $245K |
| D1206 | Topical application of fluoride varnish | 9.2% | 14,422 | 14,422 | $237K |
| D0274 | Bitewings - four radiographic images | 6.0% | 5,567 | 5,567 | $154K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.5% | 1,778 | 1,180 | $143K |
| D0272 | Bitewings - two radiographic images | 5.4% | 7,402 | 7,402 | $140K |
| D0330 | Panoramic radiographic image | 4.4% | 2,231 | 2,231 | $113K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 2,973 | 2,848 | $96K |
| D1351 | Sealant - per tooth | 3.2% | 2,793 | 935 | $83K |
| D0145 | Oral evaluation for a patient under three years of age | 2.7% | 1,587 | 1,587 | $69K |
11 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 1,506 | $61K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.0% | 416 | $52K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 2,756 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 1,949 | $31K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 733 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,416 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 137 | $14K |
| D9420 | <1% | 52 | $5K | |
| D2140 | <1% | 25 | $2K | |
| D7111 | <1% | 21 | $1K | |
| D2330 | <1% | 16 | $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 officialDUFFEY, KIMBERLY (OWNER)