Dental
Tribe Dental LLC
Tribe Dental LLC was paid $1.93M by Medicaid between Feb 2020 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoTRIBE DENTAL LLC
SIMPSONVILLE, SC 29680
SIMPSONVILLE, SC 29680
33aNPI1235776568assigned 12/05/2019
33bProvider typePediatric Dentist
28Total paid$1.93M
24GClaims61,855
24DCodes billed24
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#34 of 86
Median peer was paid$1.24M
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2020 | 5,242 | $207K | |
| 2021 | 14,452 | $499K | |
| 2022 | 12,200 | $321K | |
| 2023 | 13,452 | $373K | |
| 2024incomplete | 16,509 | $532K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 11,374 | 11,363 | $392K |
| D1206 | Topical application of fluoride varnish | 10% | 11,991 | 11,979 | $196K |
| D0145 | Oral evaluation for a patient under three years of age | 8.2% | 3,063 | 3,060 | $158K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 6,346 | 6,340 | $148K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 3,472 | 3,467 | $142K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.7% | 1,025 | 356 | $130K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 1,207 | 680 | $120K |
| D0240 | 6.0% | 6,586 | 3,494 | $116K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.8% | 3,587 | 3,362 | $112K |
| D7140 | Extraction, erupted tooth or exposed root | 4.2% | 892 | 515 | $81K |
| D0272 | Bitewings - two radiographic images | 4.0% | 4,183 | 4,178 | $77K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 672 | 411 | $52K |
12 more codes
| D1351 | Sealant - per tooth | 2.6% | 1,796 | $51K |
| D0330 | Panoramic radiographic image | 2.2% | 851 | $42K |
| D1110 | Prophylaxis - adult | 1.6% | 645 | $30K |
| D9248 | 1.4% | 390 | $27K | |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 2,074 | $25K |
| D0140 | Limited oral evaluation - problem focused | <1% | 320 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,156 | $9K |
| D9420 | <1% | 70 | $6K | |
| D9920 | <1% | 84 | $5K | |
| D0274 | Bitewings - four radiographic images | <1% | 28 | $613.00 |
| D1354 | <1% | 31 | $465.00 | |
| D0270 | <1% | 12 | $146.59 |
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 officialSHETLER, LEANNA (OWNER)