Dental
Radiant Dentistry
Radiant Dentistry was paid $194K by Medicaid between Apr 2018 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.
33Billing provider infoRADIANT DENTISTRY
SPARTANBURG, SC 29307
SPARTANBURG, SC 29307
33aNPI1225285646assigned 08/27/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$194K
24GClaims4,626
24DCodes billed13
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#131 of 331
Median peer was paid$75K
This provider vs. median2.6×
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 | 220 | $10K | |
| 2019 | 426 | $17K | |
| 2020 | 424 | $17K | |
| 2021 | 760 | $37K | |
| 2022 | 1,362 | $58K | |
| 2023 | 977 | $37K | |
| 2024incomplete | 457 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 33% | 1,287 | 1,287 | $63K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 525 | 319 | $46K |
| D0274 | Bitewings - four radiographic images | 16% | 1,125 | 1,125 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 850 | 850 | $19K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.6% | 108 | 75 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 204 | 204 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 94 | 63 | $6K |
| D1206 | Topical application of fluoride varnish | 1.6% | 189 | 189 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.5% | 20 | 14 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 159 | 157 | $2K |
| D0330 | Panoramic radiographic image | <1% | 27 | 27 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $441.60 |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 26 | $250.54 |
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 officialLEVER, JENNIFER (OWNER/DENTIST)