Dental
Carolina Orthodontics and Pediatric Dentistry
Carolina Orthodontics and Pediatric Dentistry was paid $244K by Medicaid between Dec 2018 and Dec 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.
33Billing provider infoCAROLINA ORTHODONTICS AND PEDIATRIC DENTISTRY
COLUMBIA, SC 29229
COLUMBIA, SC 29229
33aNPI1528585924assigned 08/25/2017
33bProvider typePediatric Dentist
28Total paid$244K
24GClaims9,464
24DCodes billed12
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#66 of 86
Median peer was paid$1.24M
This provider vs. median0.2×
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 | 50 | $1K | |
| 2019 | 378 | $9K | |
| 2020 | 711 | $18K | |
| 2021 | 1,621 | $41K | |
| 2022 | 2,428 | $63K | |
| 2023 | 2,292 | $59K | |
| 2024incomplete | 1,984 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 2,212 | 2,212 | $77K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,909 | 1,909 | $45K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 2,767 | 2,767 | $45K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.4% | 676 | 667 | $21K |
| D1110 | Prophylaxis - adult | 7.8% | 413 | 413 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 381 | 381 | $15K |
| D0272 | Bitewings - two radiographic images | 4.4% | 583 | 583 | $11K |
| D0240 | 2.2% | 333 | 177 | $5K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 33 | 26 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 56 | 56 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 32 | 32 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 69 | 69 | $941.50 |
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 officialLEITE, LUIS (OWNER/PRESIDENT)