Dental
Mcclellanville Dental LLC
Mcclellanville Dental LLC was paid $24K by Medicaid between Feb 2020 and Sep 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoMCCLELLANVILLE DENTAL LLC
MC CLELLANVILLE, SC 29458
MC CLELLANVILLE, SC 29458
33aNPI1194365502assigned 01/14/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$24K
24GClaims1,010
24DCodes billed7
24AFirst – last monthFeb 2020 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#210 of 331
Median peer was paid$75K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 65 | $2K | |
| 2021 | 97 | $3K | |
| 2022 | 218 | $6K | |
| 2023 | 494 | $11K | |
| 2024incomplete | 136 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 184 | 184 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 268 | 268 | $6K |
| D0274 | Bitewings - four radiographic images | 12% | 105 | 105 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 194 | 191 | $2K |
| D1206 | Topical application of fluoride varnish | 7.2% | 107 | 107 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.0% | 140 | 138 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 12 | 12 | $438.70 |
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 officialVARADI, LAURA (DENTIST/OWNER)