Clinic
Irmo Kids Dental LLC
Irmo Kids Dental LLC was paid $1.79M by Medicaid between Nov 2019 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoIRMO KIDS DENTAL LLC
COLUMBIA, SC 29212
COLUMBIA, SC 29212
33aNPI1306405857assigned 06/09/2019
33bProvider typeDental Clinic/Center
28Total paid$1.79M
24GClaims51,557
24DCodes billed22
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Carolina
Rank by total paid#16 of 68
Median peer was paid$121K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2019 | 120 | $4K | |
| 2020 | 2,627 | $102K | |
| 2021 | 8,519 | $305K | |
| 2022 | 13,782 | $476K | |
| 2023 | 11,837 | $367K | |
| 2024incomplete | 14,672 | $535K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 8,125 | 8,125 | $285K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 2,393 | 1,392 | $248K |
| D1206 | Topical application of fluoride varnish | 9.5% | 10,239 | 10,239 | $170K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 6,674 | 6,674 | $161K |
| D1351 | Sealant - per tooth | 7.9% | 4,650 | 1,604 | $141K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.0% | 1,457 | 890 | $125K |
| D1110 | Prophylaxis - adult | 6.1% | 2,170 | 2,170 | $109K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 2,551 | 2,551 | $104K |
| D0272 | Bitewings - two radiographic images | 5.2% | 4,825 | 4,825 | $92K |
| D0330 | Panoramic radiographic image | 4.6% | 1,606 | 1,603 | $82K |
| D0145 | Oral evaluation for a patient under three years of age | 3.6% | 1,276 | 1,276 | $64K |
| D0274 | Bitewings - four radiographic images | 2.9% | 1,860 | 1,860 | $52K |
10 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 1,534 | $50K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 221 | $24K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 594 | $23K |
| D2330 | <1% | 196 | $16K | |
| D7111 | <1% | 167 | $11K | |
| D0240 | <1% | 463 | $8K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 59 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 58 | $7K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 426 | $6K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 13 | $1K |
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 officialJONES, SANTANA (OWNER)