Dental
Holly Hill Dental Care
Holly Hill Dental Care was paid $440K by Medicaid between Sep 2019 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoHOLLY HILL DENTAL CARE
HOLLY HILL, SC 29059
HOLLY HILL, SC 29059
33aNPI1437703964assigned 08/01/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$440K
24GClaims11,959
24DCodes billed14
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#83 of 331
Median peer was paid$75K
This provider vs. median5.8×
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 | |
|---|---|---|---|
| 2019 | 532 | $15K | |
| 2020 | 1,436 | $49K | |
| 2021 | 2,928 | $129K | |
| 2022 | 2,608 | $105K | |
| 2023 | 2,299 | $70K | |
| 2024incomplete | 2,156 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 1,762 | 1,709 | $85K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 940 | 528 | $85K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,956 | 1,955 | $45K |
| D0274 | Bitewings - four radiographic images | 9.5% | 1,542 | 1,491 | $42K |
| D1206 | Topical application of fluoride varnish | 8.1% | 2,213 | 2,155 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.6% | 963 | 942 | $33K |
| D0330 | Panoramic radiographic image | 7.1% | 649 | 617 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 624 | 561 | $25K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.7% | 193 | 116 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 199 | 126 | $17K |
| D0272 | Bitewings - two radiographic images | 2.4% | 563 | 549 | $11K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 130 | 128 | $5K |
2 more codes
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 officialJOHNSTON, KATHY (OFFICE MANAGER)