Dental
Ingleside Family Dental, LLC
Ingleside Family Dental, LLC was paid $3K by Medicaid between Apr 2022 and Jun 2024, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 49% of everything it billed.
33Billing provider infoINGLESIDE FAMILY DENTAL, LLC
LADSON, SC 29456
LADSON, SC 29456
33aNPI1174159248assigned 03/20/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims169
24DCodes billed4
24AFirst – last monthApr 2022 – Jun 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#286 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 | |
|---|---|---|---|
| 2022 | 13 | $149.28 | |
| 2024incomplete | 156 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 49% | 42 | 42 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 29% | 76 | 74 | $931.19 |
| D0274 | Bitewings - four radiographic images | 12% | 14 | 14 | $380.16 |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 37 | 31 | $345.68 |
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 officialMATHEW, MARILYN (OWNER)