Dental
Anderson Pediatric Dentistry
Anderson Pediatric Dentistry was paid $17K by Medicaid between Jan 2018 and Jan 2018, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoANDERSON PEDIATRIC DENTISTRY
ANDERSON, SC 29621
ANDERSON, SC 29621
33aNPI1316244858assigned 02/18/2011
33bProvider typePediatric Dentist
28Total paid$17K
24GClaims588
24DCodes billed11
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#78 of 86
Median peer was paid$1.24M
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 | 588 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 120 | 120 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 110 | 110 | $3K |
| D1206 | Topical application of fluoride varnish | 14% | 149 | 149 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 21 | 12 | $2K |
| D0272 | Bitewings - two radiographic images | 7.5% | 67 | 67 | $1K |
| D1110 | Prophylaxis - adult | 6.8% | 23 | 23 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.7% | 30 | 29 | $975.00 |
| D0330 | Panoramic radiographic image | 4.1% | 14 | 14 | $701.26 |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 16 | 16 | $648.00 |
| D0145 | Oral evaluation for a patient under three years of age | 3.8% | 18 | 18 | $648.00 |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 20 | 20 | $243.77 |
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 officialMONN, KATHLEEN (PRESIDENT)