Dental
Fairfield Family Dentistry, LLC
Fairfield Family Dentistry, LLC was paid $578K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.
33Billing provider infoFAIRFIELD FAMILY DENTISTRY, LLC
WINNSBORO, SC 29180
WINNSBORO, SC 29180
33aNPI1386929271assigned 10/11/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$578K
24GClaims21,485
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#68 of 331
Median peer was paid$75K
This provider vs. median7.7×
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 | 4,613 | $125K | |
| 2019 | 5,275 | $148K | |
| 2020 | 1,907 | $51K | |
| 2021 | 2,799 | $75K | |
| 2022 | 2,990 | $80K | |
| 2023 | 1,843 | $42K | |
| 2024incomplete | 2,058 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 15% | 1,798 | 1,798 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 767 | 409 | $72K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 2,410 | 2,410 | $55K |
| D0274 | Bitewings - four radiographic images | 8.7% | 1,865 | 1,865 | $50K |
| D1206 | Topical application of fluoride varnish | 8.4% | 2,981 | 2,981 | $49K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 1,353 | 1,353 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 1,180 | 1,180 | $47K |
| D0220 | Intraoral - periapical first radiographic image | 7.5% | 3,423 | 3,394 | $43K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 3,115 | 2,904 | $32K |
| D0330 | Panoramic radiographic image | 3.7% | 443 | 443 | $22K |
| D0272 | Bitewings - two radiographic images | 3.3% | 1,022 | 1,022 | $19K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.9% | 139 | 89 | $17K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | 2.8% | 443 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 134 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 96 | $3K |
| D0240 | <1% | 226 | $3K | |
| D0160 | <1% | 19 | $2K | |
| D1351 | Sealant - per tooth | <1% | 46 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 25 | $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 officialWRENN, NEIL (DENTIST/OWNER)