Dental
Rivers Avenue Dental Health Center
Rivers Avenue Dental Health Center was paid $763K by Medicaid between Jan 2018 and Sep 2018, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 12% of everything it billed.
33Billing provider infoRIVERS AVENUE DENTAL HEALTH CENTER
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
33aNPI1295134419assigned 08/14/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$763K
24GClaims23,507
24DCodes billed20
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#52 of 331
Median peer was paid$75K
This provider vs. median10×
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 | 23,507 | $763K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,605 | 2,605 | $91K |
| D1351 | Sealant - per tooth | 9.8% | 2,502 | 1,009 | $75K |
| D1110 | Prophylaxis - adult | 9.0% | 1,364 | 1,364 | $69K |
| D1206 | Topical application of fluoride varnish | 8.4% | 3,936 | 3,936 | $64K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.1% | 604 | 420 | $62K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 2,531 | 2,531 | $58K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 1,160 | 1,160 | $47K |
| D0330 | Panoramic radiographic image | 5.9% | 893 | 893 | $45K |
| D0274 | Bitewings - four radiographic images | 5.7% | 1,588 | 1,588 | $44K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.1% | 1,186 | 1,117 | $39K |
| D0272 | Bitewings - two radiographic images | 4.1% | 1,650 | 1,650 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 396 | 315 | $31K |
8 more codes
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 313 | $28K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.9% | 174 | $22K |
| D0240 | 1.7% | 725 | $13K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.6% | 96 | $12K |
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 315 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 884 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 193 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 392 | $4K |
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 officialSPEARS, DAN (OWNER/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Irby Street Dental Health Center, P.C. | Florence, SC | $10.56M |
| Kings Highway Dental Health Center, P.C. | Myrtle Beach, SC | $9.41M |
| Pleasantburg Drive Dental Health Center, P.C. | Greenville, SC | $6.51M |
| Whitney Road Dental Health Center, P.C. | Spartanburg, SC | $6.32M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.