Dental
Sawgrass Pediatric Dentistry, LLC
Sawgrass Pediatric Dentistry, LLC was paid $3.56M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoSAWGRASS PEDIATRIC DENTISTRY, LLC
MYRTLE BEACH, SC 29579
MYRTLE BEACH, SC 29579
33aNPI1427499540assigned 07/17/2013
33bProvider typePediatric Dentist
28Total paid$3.56M
24GClaims111,594
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#21 of 86
Median peer was paid$1.24M
This provider vs. median2.9×
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 | 16,570 | $527K | |
| 2019 | 16,543 | $520K | |
| 2020 | 14,790 | $456K | |
| 2021 | 15,914 | $488K | |
| 2022 | 15,324 | $469K | |
| 2023 | 15,039 | $438K | |
| 2024incomplete | 17,414 | $665K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 17,251 | 17,248 | $605K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 21,006 | 21,004 | $495K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 22,746 | 22,743 | $374K |
| D0272 | Bitewings - two radiographic images | 8.9% | 16,807 | 16,806 | $319K |
| D1110 | Prophylaxis - adult | 8.5% | 5,969 | 5,969 | $303K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.4% | 2,461 | 1,801 | $263K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.3% | 2,011 | 1,022 | $259K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 2,285 | 1,547 | $200K |
| D0330 | Panoramic radiographic image | 4.8% | 3,681 | 3,681 | $170K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.5% | 4,853 | 4,757 | $159K |
| D1351 | Sealant - per tooth | 4.0% | 4,665 | 1,455 | $141K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 779 | 482 | $84K |
8 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 1,234 | $52K |
| D0240 | 1.3% | 2,459 | $46K | |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 1,143 | $44K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,285 | $17K |
| D0274 | Bitewings - four radiographic images | <1% | 523 | $15K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 264 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 92 | $1K |
| D1354 | <1% | 80 | $970.00 |
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 officialSMITH, RYAN (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| South Peninsula Hospital, INC | Homer, AK | $30.12M |
| South Peninsula Hospital, INC. | Homer, AK | $2.72M |
| Ryan Smith Counseling Services, LLC | Kearney, NE | $460K |
| Goodwill Industries of the Chesapeake, INC | Baltimore, MD | $439K |
| Anesthesia SC LLC | Myrtle Beach, SC | $2K |
| West Yellowstone Dental | West Yellowstone, MT | $317.80 |
| Goodwill Indrustries of the Chesapeake, INC | Westminster, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.