Dental
Prisma Health Medical Group-Midlands
Prisma Health Medical Group-Midlands was paid $263K by Medicaid between Jul 2018 and Dec 2024, across 7 billing codes.
Its largest line is D7140 , Extraction, erupted tooth or exposed root — 54% of everything it billed.
33 Billing provider infoPRISMA HEALTH MEDICAL GROUP-MIDLANDS
33a NPI1417442864 assigned 06/28/2018
28 Total paid$263K
24G Claims4,692
24D Codes billed7
24A First – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in South Carolina
Rank by total paid #22 of 45
Median peer was paid $227K
This provider vs. median 1.2×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed .
Entity Proliferation Authorized official LAWRENCE, KRISTI controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $5.0K $10K $15K 2018 2019 2020 2021 2022 2023 2024
By year, as a table
Year Claims Paid
2018 214 $11K 2019 663 $38K 2020 248 $11K 2021 134 $5K 2022 1,117 $62K 2023 1,205 $64K 2024incomplete 1,111 $72K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
D7140 Extraction, erupted tooth or exposed root
54% 1,627
486
$143K
D0140 Limited oral evaluation - problem focused
36% 2,565
2,559
$95K
D0330 Panoramic radiographic image
6.7% 359
359
$18K
D1110 Prophylaxis - adult
1.4% 77
77
$4K
D9420 <1% 26
26
$2K
D0150 Comprehensive oral evaluation - new or established patient
<1% 13
13
$486.00
D0220 Intraoral - periapical first radiographic image
<1% 25
25
$313.95
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
Same official Other billing entities under LAWRENCE, KRISTI Full network →
Provider Location Paid
Prisma Health University Medical Group Greenville, SC $172.15M Prisma Health Medical Group-Midlands Columbia, SC $77.82M Prisma Health University Medical Group Greenville, SC $15.98M Prisma Health - Blount Memorial Hospital INC. Maryville, TN $14.75M Prisma Health Medical Group-Midlands Columbia, SC $8.70M Prisma Health University Medical Group Easley, SC $4.70M Blount Memorial Physician Group, INC. Alcoa, TN $4.21M Prisma Health Medical Group-Midlands Sumter, SC $3.66M Prisma Health University Medical Group Greenville, SC $2.07M Prisma Health University Medical Group Columbia, SC $581K Prisma Health University Medical Group Taylors, SC $412K Prisma Health - Blount Memorial Hospital INC. Maryville, TN $233K Prisma Health University Medical Group Greenville, SC $59K Prisma Health University Medical Group Greenville, SC $21K Prisma Health Urgent Care of South Carolina, PC Greenville, SC $19K Prisma Health University Medical Group Columbia, SC $19K Prisma Health University Medical Group Greenville, SC $17K Prisma Health - Blount Memorial Hospital INC. Maryville, TN $10K Prisma Health University Medical Group Easley, SC $4K Prisma Health Medical Group-Midlands Sumter, SC $3K
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.