Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Summerville › NPI 1205474731
Dental

Grosso Orthodontics, LLC

Grosso Orthodontics, LLC was paid $106K by Medicaid between Nov 2020 and Mar 2022, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.

33Billing provider infoGROSSO ORTHODONTICS, LLC
SUMMERVILLE, SC 29485
33aNPI1205474731assigned 12/16/2019
33bProvider typePediatric Dentist
28Total paid$106K
24GClaims4,132
24DCodes billed13
24AFirst – last monthNov 2020 – Mar 2022
Compared with peers

Next to other Pediatric Dentist providers in South Carolina

Rank by total paid#73 of 86
Median peer was paid$1.24M
This provider vs. median0.1×

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$5.0K$10K$15K2018201920202021202220232024
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
2020398$10K
20213,069$79K
2022665$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 20% 908 908 $21K
D1110 Prophylaxis - adult 18% 387 387 $19K
D1208 Topical application of fluoride, excluding varnish 13% 884 884 $14K
D1120 Dental cleaning, childProphylaxis - child 13% 400 400 $14K
D0272 Bitewings - two radiographic images 8.9% 502 502 $9K
D1351 Sealant - per tooth 7.3% 258 65 $8K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 5.4% 177 171 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4.0% 42 30 $4K
D0274 Bitewings - four radiographic images 3.2% 134 134 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.6% 40 21 $3K
D0230 Intraoral - periapical each additional radiographic image 2.0% 220 89 $2K
D0220 Intraoral - periapical first radiographic image 2.0% 168 168 $2K
1 more codes
D0330 Panoramic radiographic image <1% 12 $557.08

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 officialGROSSO, LINDSAY (OWNER)
Parent organizationGROSSO ORTHODONTICS, LLC