Dental
CP Dentistry, LLC
CP Dentistry, LLC was paid $1.74M by Medicaid between Jun 2021 and Nov 2024, across 13 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 43% of everything it billed.
33Billing provider infoCP DENTISTRY, LLC
SUMMERVILLE, SC 29485
SUMMERVILLE, SC 29485
33aNPI1487267365assigned 08/28/2020
33bProvider typePediatric Dentist
28Total paid$1.74M
24GClaims16,610
24DCodes billed13
24AFirst – last monthJun 2021 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#38 of 86
Median peer was paid$1.24M
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2021 | 199 | $23K | |
| 2022 | 3,528 | $333K | |
| 2023 | 2,321 | $178K | |
| 2024incomplete | 10,562 | $1.21M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 43% | 5,406 | 1,000 | $741K |
| D7140 | Extraction, erupted tooth or exposed root | 17% | 2,344 | 820 | $303K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 11% | 2,109 | 1,113 | $197K |
| D9222 | 8.7% | 1,109 | 1,109 | $152K | |
| D2929 | 6.5% | 744 | 236 | $114K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.8% | 782 | 481 | $67K |
| D2330 | 3.8% | 640 | 324 | $66K | |
| D0240 | 2.1% | 1,945 | 1,020 | $37K | |
| D0272 | Bitewings - two radiographic images | 1.0% | 928 | 928 | $18K |
| D2331 | <1% | 157 | 88 | $17K | |
| D1510 | <1% | 58 | 43 | $11K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 96 | 51 | $10K |
1 more codes
| D1351 | Sealant - per tooth | <1% | 292 | $9K |
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 officialVIETH, ERIC (OWNER DOCTOR)