Clinic
Carolina Pediatric Dentistry
Carolina Pediatric Dentistry was paid $5.64M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 12% of everything it billed.
33Billing provider infoCAROLINA PEDIATRIC DENTISTRY
SPARTANBURG, SC 29302
SPARTANBURG, SC 29302
33aNPI1326332628assigned 06/03/2011
33bProvider typeDental Clinic/Center
28Total paid$5.64M
24GClaims181,320
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Carolina
Rank by total paid#3 of 68
Median peer was paid$121K
This provider vs. median47×
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 | 29,016 | $845K | |
| 2019 | 30,610 | $898K | |
| 2020 | 26,116 | $795K | |
| 2021 | 28,228 | $855K | |
| 2022 | 27,763 | $838K | |
| 2023 | 18,821 | $624K | |
| 2024incomplete | 20,766 | $787K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 19,426 | 19,426 | $667K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 6,946 | 4,327 | $633K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 22,708 | 22,708 | $524K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.9% | 4,236 | 2,707 | $500K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.5% | 4,940 | 3,447 | $479K |
| D1206 | Topical application of fluoride varnish | 6.9% | 24,264 | 24,264 | $391K |
| D9248 | 6.0% | 5,042 | 5,025 | $338K | |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 33,937 | 11,758 | $323K |
| D1110 | Prophylaxis - adult | 5.0% | 5,744 | 5,744 | $285K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.0% | 9,035 | 8,899 | $281K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 3,163 | 2,371 | $248K |
| D1351 | Sealant - per tooth | 3.3% | 6,558 | 2,267 | $185K |
11 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 14,261 | $181K |
| D0272 | Bitewings - two radiographic images | 2.4% | 7,325 | $137K |
| D0330 | Panoramic radiographic image | 2.3% | 2,601 | $128K |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 1,946 | $81K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 2,026 | $76K |
| D0240 | 1.3% | 4,846 | $76K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 522 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 916 | $36K |
| D0274 | Bitewings - four radiographic images | <1% | 650 | $18K |
| D7111 | <1% | 178 | $12K | |
| D2330 | <1% | 50 | $3K |
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 officialGREEN, AMANDA (DENTIST)