Bondurant, Jeremy

Bondurant, Jeremy was paid $3K by Medicaid between Aug 2018 and Aug 2018, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoBONDURANT, JEREMY
MYRTLE BEACH, SC 29577

33aNPI1346491461assigned 10/07/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims124

24DCodes billed6

24AFirst – last monthAug 2018 – Aug 2018

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#290 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	124	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	30%	24	24	$835.20
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	24	24	$552.00
D1206	Topical application of fluoride varnish	18%	32	32	$518.40
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	14%	12	12	$390.00
D0272	Bitewings - two radiographic images	11%	16	16	$303.04
D0220	Intraoral - periapical first radiographic image	7.3%	16	16	$205.28

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.