Dental
SFD MT. Pleasant LLC
SFD MT. Pleasant LLC was paid $337K by Medicaid between Nov 2020 and Nov 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoSFD MT. PLEASANT LLC
MOUNT PLEASANT, SC 29466
MOUNT PLEASANT, SC 29466
33aNPI1457994196assigned 10/25/2019
33bProvider typePediatric Dentist
28Total paid$337K
24GClaims9,036
24DCodes billed16
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#63 of 86
Median peer was paid$1.24M
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 303 | $10K | |
| 2021 | 2,425 | $130K | |
| 2022 | 2,571 | $84K | |
| 2023 | 2,046 | $60K | |
| 2024incomplete | 1,691 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 1,318 | 1,318 | $65K |
| D0330 | Panoramic radiographic image | 15% | 1,062 | 1,062 | $51K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 1,151 | 1,151 | $44K |
| D0274 | Bitewings - four radiographic images | 12% | 1,568 | 1,568 | $39K |
| D0220 | Intraoral - periapical first radiographic image | 8.0% | 2,295 | 2,272 | $27K |
| D7240 | Removal of impacted tooth - completely bony | 7.2% | 100 | 40 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.0% | 304 | 161 | $23K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.9% | 235 | 102 | $23K |
| D0140 | Limited oral evaluation - problem focused | 4.6% | 439 | 435 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.5% | 386 | 386 | $9K |
| D9222 | 1.3% | 53 | 53 | $5K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.3% | 48 | 48 | $4K |
4 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 officialBAZZLE, ANGELA (OPERATIONS MANAGER)
Parent organizationA. FREDERICK SOLOMON DMD P.A.
| Provider | Location | Paid |
|---|---|---|
| SFD Kids LLC | Summerville, SC | $2.45M |
| Solomon Kids Pediatric Dentistry Knightsville LLC | Summerville, SC | $1.30M |
| Solomon Oral Surgery LLC | Mount Pleasant, SC | $1.23M |
| SFD Carnes LLC | Summerville, SC | $588K |
| SFD Knightsville LLC | Summerville, SC | $327K |
| Live Oak Endontics | Summerville, SC | $76K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.