Dental
Capital Children's Dental Center, LLC
Capital Children's Dental Center, LLC was paid $2.56M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoCAPITAL CHILDREN'S DENTAL CENTER, LLC
COLUMBIA, SC 29210
COLUMBIA, SC 29210
33aNPI1174739056assigned 05/15/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$2.56M
24GClaims66,242
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#21 of 331
Median peer was paid$75K
This provider vs. median34×
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 | 9,303 | $314K | |
| 2019 | 11,005 | $435K | |
| 2020 | 9,539 | $359K | |
| 2021 | 12,038 | $492K | |
| 2022 | 10,371 | $415K | |
| 2023 | 6,877 | $227K | |
| 2024incomplete | 7,109 | $320K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 4,307 | 2,494 | $447K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 3,354 | 1,822 | $263K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 10,403 | 10,403 | $243K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 6,602 | 6,601 | $231K |
| D1110 | Prophylaxis - adult | 8.4% | 4,279 | 4,279 | $215K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.3% | 6,599 | 6,261 | $213K |
| D1208 | Topical application of fluoride, excluding varnish | 7.5% | 11,680 | 11,679 | $192K |
| D9248 | 7.4% | 2,756 | 2,616 | $189K | |
| D0272 | Bitewings - two radiographic images | 5.9% | 7,942 | 7,941 | $150K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 1,007 | 609 | $88K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.3% | 673 | 445 | $84K |
| D0330 | Panoramic radiographic image | 2.8% | 1,448 | 1,447 | $72K |
11 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 997 | $41K |
| D1351 | Sealant - per tooth | 1.4% | 1,217 | $36K |
| D0274 | Bitewings - four radiographic images | 1.2% | 1,086 | $30K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 177 | $25K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 347 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 293 | $11K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 602 | $8K |
| D0240 | <1% | 319 | $6K | |
| D2330 | <1% | 82 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 46 | $423.53 |
| D1206 | Topical application of fluoride varnish | <1% | 26 | $421.20 |
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 officialRAINES, KEVIN (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Palmetto Smiles Dentistry Partnership | Lexington, SC | $559K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.