Cedar Drive Family Dentistry

Cedar Drive Family Dentistry was paid $6K by Medicaid between May 2018 and Jul 2021, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoCEDAR DRIVE FAMILY DENTISTRY
SAINT STEPHEN, SC 29479

33aNPI1235685843assigned 09/01/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims200

24DCodes billed5

24AFirst – last monthMay 2018 – Jul 2021

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#266 of 331

Median peer was paid$75K

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

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	109	$4K
2019	65	$2K
2020	13	$276.00
2021	13	$210.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	30%	37	37	$2K
D0330	Panoramic radiographic image	26%	33	33	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	77	77	$1K
D1208	Topical application of fluoride, excluding varnish	11%	40	40	$648.00
D0150	Comprehensive oral evaluation - new or established patient	8.9%	13	13	$526.50

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 officialCADDELL, LAURA (OWNER)