Clinic
Carolina Emergency Dental LLC
Carolina Emergency Dental LLC was paid $56K by Medicaid between Nov 2022 and Dec 2024, across 4 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 52% of everything it billed.
33Billing provider infoCAROLINA EMERGENCY DENTAL LLC
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1407593288assigned 05/13/2022
33bProvider typeDental Clinic/Center
28Total paid$56K
24GClaims1,454
24DCodes billed4
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Carolina
Rank by total paid#40 of 68
Median peer was paid$121K
This provider vs. median0.5×
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 | 68 | $4K | |
| 2023 | 769 | $28K | |
| 2024incomplete | 617 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 52% | 794 | 789 | $29K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 36% | 139 | 112 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 508 | 504 | $6K |
| D0330 | Panoramic radiographic image | 1.2% | 13 | 13 | $651.17 |
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 officialALBU-SHAMAH, MUSTAFA (OWNER)