Clinic
Modern Dental Care
Modern Dental Care was paid $519K by Medicaid between Jun 2021 and Dec 2024, across 22 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoMODERN DENTAL CARE
CLOVER, SC 29710
CLOVER, SC 29710
33aNPI1376125518assigned 04/27/2021
33bProvider typeDental Clinic/Center
28Total paid$519K
24GClaims12,734
24DCodes billed22
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Carolina
Rank by total paid#24 of 68
Median peer was paid$121K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2021 | 897 | $31K | |
| 2022 | 3,051 | $104K | |
| 2023 | 3,436 | $120K | |
| 2024incomplete | 5,350 | $264K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 738 | 293 | $71K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 646 | 322 | $65K |
| D1110 | Prophylaxis - adult | 10.0% | 1,028 | 1,028 | $52K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.9% | 1,258 | 1,258 | $51K |
| D0330 | Panoramic radiographic image | 6.7% | 999 | 996 | $35K |
| D7240 | Removal of impacted tooth - completely bony | 4.9% | 91 | 30 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 1,835 | 1,793 | $24K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.5% | 193 | 119 | $23K |
| D0274 | Bitewings - four radiographic images | 4.4% | 956 | 956 | $23K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.3% | 158 | 85 | $22K |
| D1206 | Topical application of fluoride varnish | 4.2% | 1,288 | 1,288 | $22K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 559 | 550 | $21K |
10 more codes
| D1120 | Dental cleaning, child | 4.0% | 578 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 1,558 | $17K |
| D0120 | Dental checkup, returning patient | 3.0% | 654 | $16K |
| D2950 | 2.0% | 76 | $10K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.9% | 18 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 30 | $4K |
| D2931 | <1% | 20 | $3K | |
| D2332 | <1% | 23 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $755.90 |
| D0272 | Bitewings - two radiographic images | <1% | 15 | $274.50 |
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 officialFRIDMAN, IRINA (BUSINESS ADMINISTRATION)