Dental
Mountain View Pediatric Dentistry, LLC
Mountain View Pediatric Dentistry, LLC was paid $910K by Medicaid between Jul 2022 and Dec 2024, across 19 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 14% of everything it billed.
33Billing provider infoMOUNTAIN VIEW PEDIATRIC DENTISTRY, LLC
GREER, SC 29650
GREER, SC 29650
33aNPI1346828753assigned 03/30/2021
33bProvider typePediatric Dentist
28Total paid$910K
24GClaims26,916
24DCodes billed19
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#47 of 86
Median peer was paid$1.24M
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 1,153 | $27K | |
| 2023 | 9,670 | $296K | |
| 2024incomplete | 16,093 | $588K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 14% | 924 | 501 | $127K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 3,600 | 3,600 | $124K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 742 | 370 | $100K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 1,507 | 1,507 | $62K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 570 | 240 | $60K |
| D1206 | Topical application of fluoride varnish | 6.1% | 3,449 | 3,449 | $56K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.1% | 2,361 | 2,361 | $56K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 488 | 260 | $53K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 4,110 | 2,914 | $44K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.8% | 1,367 | 1,305 | $44K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 3,148 | 3,128 | $40K |
| D0272 | Bitewings - two radiographic images | 3.8% | 1,865 | 1,865 | $35K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | 2.7% | 649 | $25K |
| D1110 | Prophylaxis - adult | 2.5% | 501 | $23K |
| D1351 | Sealant - per tooth | 2.5% | 786 | $23K |
| D0330 | Panoramic radiographic image | 2.3% | 426 | $21K |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 204 | $13K |
| D0274 | Bitewings - four radiographic images | <1% | 202 | $5K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 17 | $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 officialFRYML, JONATHAN (OWNER)