Clinic
River Falls Peditric Dentistry, PA
River Falls Peditric Dentistry, PA was paid $3.01M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.
33Billing provider infoRIVER FALLS PEDITRIC DENTISTRY, PA
DUNCAN, SC 29334
DUNCAN, SC 29334
33aNPI1538516042assigned 05/16/2016
33bProvider typeDental Clinic/Center
28Total paid$3.01M
24GClaims81,612
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Carolina
Rank by total paid#8 of 68
Median peer was paid$121K
This provider vs. median25×
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 | 9,917 | $354K | |
| 2019 | 11,697 | $434K | |
| 2020 | 8,859 | $310K | |
| 2021 | 12,667 | $479K | |
| 2022 | 12,342 | $441K | |
| 2023 | 11,717 | $377K | |
| 2024incomplete | 14,413 | $619K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 3,899 | 1,661 | $507K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 9,509 | 9,509 | $332K |
| D7140 | Extraction, erupted tooth or exposed root | 9.3% | 2,707 | 1,485 | $280K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 10,550 | 10,550 | $248K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.3% | 2,538 | 1,855 | $219K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.8% | 6,295 | 5,957 | $205K |
| D1206 | Topical application of fluoride varnish | 6.7% | 12,408 | 12,408 | $203K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 1,857 | 1,308 | $196K |
| D1110 | Prophylaxis - adult | 5.6% | 3,377 | 3,377 | $169K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 6,966 | 6,832 | $90K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 7,941 | 3,714 | $80K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.4% | 860 | 504 | $72K |
10 more codes
| D9248 | 2.2% | 950 | $67K | |
| D0272 | Bitewings - two radiographic images | 2.2% | 3,535 | $67K |
| D1351 | Sealant - per tooth | 1.8% | 1,785 | $54K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 991 | $41K |
| D0330 | Panoramic radiographic image | 1.2% | 696 | $35K |
| D9310 | 1.1% | 533 | $34K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 837 | $34K |
| D0140 | Limited oral evaluation - problem focused | <1% | 743 | $29K |
| D0240 | <1% | 1,691 | $27K | |
| D0274 | Bitewings - four radiographic images | <1% | 944 | $26K |
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 officialTOCHAROEN, AUNCHANA (OWNER)