Dental
Ridgeland Smiles
Ridgeland Smiles was paid $519K by Medicaid between Nov 2018 and Dec 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 14% of everything it billed.
33Billing provider infoRIDGELAND SMILES
RIDGELAND, SC 29936
RIDGELAND, SC 29936
33aNPI1275014995assigned 08/22/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$519K
24GClaims15,857
24DCodes billed19
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#72 of 331
Median peer was paid$75K
This provider vs. median6.9×
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 | 697 | $28K | |
| 2019 | 3,776 | $160K | |
| 2020 | 1,429 | $45K | |
| 2021 | 2,137 | $72K | |
| 2022 | 2,516 | $65K | |
| 2023 | 2,082 | $51K | |
| 2024incomplete | 3,220 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 14% | 1,473 | 1,472 | $73K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 700 | 385 | $68K |
| D0274 | Bitewings - four radiographic images | 8.5% | 1,722 | 1,721 | $44K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.9% | 515 | 240 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 1,768 | 1,767 | $40K |
| D0330 | Panoramic radiographic image | 7.7% | 883 | 881 | $40K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.4% | 316 | 139 | $38K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 2,713 | 2,667 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 756 | 756 | $30K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.9% | 148 | 90 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 1,075 | 1,074 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 2,051 | 1,395 | $18K |
7 more codes
| D1120 | Dental cleaning, child | 3.0% | 450 | $16K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 420 | $15K |
| D0272 | Bitewings - two radiographic images | 2.3% | 644 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 104 | $9K |
| D2394 | <1% | 18 | $3K | |
| D1354 | <1% | 70 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 31 | $502.20 |
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 officialBOSTICK, EARL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Earl Bostick,sr. D.M.D. | Ridgeland, SC | $197K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.