Surfside Dental LLC

Surfside Dental LLC was paid $3K by Medicaid between Apr 2018 and Aug 2019, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 78% of everything it billed.

33Billing provider infoSURFSIDE DENTAL LLC
SURFSIDE BEACH, SC 29575

33aNPI1316216500assigned 12/19/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims118

24DCodes billed2

24AFirst – last monthApr 2018 – Aug 2019

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#289 of 331

Median peer was paid$75K

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
2018	68	$2K
2019	50	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	78%	105	105	$2K
D1110	Prophylaxis - adult	22%	13	13	$655.20

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 officialWILLIS, SCOTT (MEMBER)