Clinic
Lugoff Family Dentistry, LLC
Lugoff Family Dentistry, LLC was paid $467.00 by Medicaid between May 2021 and May 2021, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 58% of everything it billed.
33Billing provider infoLUGOFF FAMILY DENTISTRY, LLC
LUGOFF, SC 29078
LUGOFF, SC 29078
33aNPI1295321198assigned 12/15/2020
33bProvider typeDental Clinic/Center
28Total paid$467.00
24GClaims24
24DCodes billed2
24AFirst – last monthMay 2021 – May 2021
Compared with peers
Next to other Dental Clinic/Center providers in South Carolina
Rank by total paid#65 of 68
Median peer was paid$121K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 24 | $467.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 58% | 12 | 12 | $272.60 |
| D1206 | Topical application of fluoride varnish | 42% | 12 | 12 | $194.40 |
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 officialRICKARD, JOHN (COMPTROLLER)