Smile Center of Knightsville

Smile Center of Knightsville was paid $973.60 by Medicaid between Nov 2018 and Mar 2023, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 62% of everything it billed.

33Billing provider infoSMILE CENTER OF KNIGHTSVILLE
SUMMERVILLE, SC 29483

33aNPI1558543249assigned 12/04/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$973.60

24GClaims28

24DCodes billed2

24AFirst – last monthNov 2018 – Mar 2023

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#308 of 331

Median peer was paid$75K

This provider vs. median0.0×

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	16	$368.00
2023	12	$605.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	62%	12	12	$605.60
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	38%	16	16	$368.00

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 officialGOURDINE, JEANINE (OWNER/DENTIST)