Dental
Newberry Dental, PC
Newberry Dental, PC was paid $58K by Medicaid between Feb 2018 and Apr 2021, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoNEWBERRY DENTAL, PC
NEWBERRY, SC 29108
NEWBERRY, SC 29108
33aNPI1457898132assigned 01/19/2017
33bProvider typeDentist
28Total paid$58K
24GClaims1,943
24DCodes billed11
24AFirst – last monthFeb 2018 – Apr 2021
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#89 of 166
Median peer was paid$67K
This provider vs. median0.9×
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 | 481 | $15K | |
| 2019 | 1,046 | $32K | |
| 2020 | 374 | $10K | |
| 2021 | 42 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 348 | 348 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 575 | 575 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 554 | 554 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 161 | 161 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.4% | 48 | 24 | $5K |
| D0274 | Bitewings - four radiographic images | 5.3% | 113 | 113 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 55 | 55 | $2K |
| D0330 | Panoramic radiographic image | 2.6% | 30 | 30 | $2K |
| D0272 | Bitewings - two radiographic images | 1.1% | 34 | 34 | $643.96 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 12 | $500.50 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $153.96 |
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 officialLAKE, JOHN (GENERAL DENTIST)
| Provider | Location | Paid |
|---|---|---|
| John F Lake DDS & Deborah Starr | Ontario, OR | $23K |
| Mid-Carolina Dental Care, INC | Prosperity, SC | $194.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.