Baldwin, Diane

Baldwin, Diane was paid $813K by Medicaid between Jan 2018 and Apr 2021, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.

33Billing provider infoBALDWIN, DIANE
SUMMERVILLE, SC 29486

33aNPI1376742619assigned 07/17/2007

33bProvider typePediatric Dentist

28Total paid$813K

24GClaims18,823

24DCodes billed17

24AFirst – last monthJan 2018 – Apr 2021

Compared with peers

Next to other Pediatric Dentist providers in South Carolina

Rank by total paid#49 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
2018	6,749	$294K
2019	6,322	$276K
2020	4,707	$200K
2021	1,045	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	26%	1,925	930	$210K
D1120	Dental cleaning, childProphylaxis - child	17%	3,141	3,141	$141K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	2,711	2,711	$122K
D0272	Bitewings - two radiographic images	8.5%	2,044	2,044	$69K
D2391	Resin-based composite - one surface, posterior, primary or permanent	7.8%	639	424	$64K
D1206	Topical application of fluoride varnish	6.0%	1,521	1,521	$49K
D1208	Topical application of fluoride, excluding varnish	5.1%	1,650	1,650	$41K
D1351	Sealant - per tooth	4.1%	749	191	$34K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3.3%	1,087	971	$27K
D0603		2.1%	1,687	1,687	$17K
D0220	Intraoral - periapical first radiographic image	1.6%	876	872	$13K
D0150	Comprehensive oral evaluation - new or established patient	1.0%	182	182	$8K

5 more codes

D0140	Limited oral evaluation - problem focused	<1%	143	$6K
D0230	Intraoral - periapical each additional radiographic image	<1%	384	$5K
D2930	Prefabricated stainless steel crown - primary tooth	<1%	18	$3K
D0145	Oral evaluation for a patient under three years of age	<1%	40	$2K
D9920		<1%	26	$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.