Dental
Seaside Pediatric Dental Associates
Seaside Pediatric Dental Associates was paid $5.60M by Medicaid between Feb 2018 and Dec 2024, across 30 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.
33Billing provider infoSEASIDE PEDIATRIC DENTAL ASSOCIATES
MURRELLS INLET, SC 29576
MURRELLS INLET, SC 29576
33aNPI1578084331assigned 07/03/2017
33bProvider typePediatric Dentist
28Total paid$5.60M
24GClaims155,575
24DCodes billed30
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#10 of 86
Median peer was paid$1.24M
This provider vs. median4.5×
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 | 7,675 | $346K | |
| 2019 | 14,798 | $621K | |
| 2020 | 17,144 | $620K | |
| 2021 | 30,632 | $1.14M | |
| 2022 | 30,680 | $1.06M | |
| 2023 | 25,005 | $713K | |
| 2024incomplete | 29,641 | $1.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 7,331 | 2,487 | $927K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 20,958 | 20,958 | $732K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 5,363 | 3,783 | $556K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.9% | 21,142 | 21,142 | $501K |
| D1206 | Topical application of fluoride varnish | 7.3% | 24,804 | 24,804 | $408K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.6% | 9,734 | 9,557 | $312K |
| D7140 | Extraction, erupted tooth or exposed root | 5.2% | 3,176 | 1,719 | $290K |
| D0272 | Bitewings - two radiographic images | 5.0% | 14,673 | 14,673 | $279K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 3,264 | 2,384 | $276K |
| D1110 | Prophylaxis - adult | 3.7% | 4,166 | 4,166 | $208K |
| D1351 | Sealant - per tooth | 3.2% | 5,937 | 2,303 | $177K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 4,179 | 4,179 | $169K |
18 more codes
| D0330 | Panoramic radiographic image | 2.0% | 2,275 | $112K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 2,597 | $100K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 6,322 | $80K |
| D0274 | Bitewings - four radiographic images | 1.4% | 2,890 | $80K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 8,386 | $78K |
| D0240 | 1.1% | 3,355 | $64K | |
| D9420 | 1.1% | 699 | $60K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 569 | $46K |
| D9248 | <1% | 632 | $41K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 795 | $34K |
| D9920 | <1% | 510 | $26K | |
| D1354 | <1% | 1,389 | $14K | |
| D9310 | <1% | 207 | $13K | |
| D2332 | <1% | 78 | $8K | |
| D2330 | <1% | 86 | $6K | |
| D2934 | <1% | 28 | $4K | |
| D7111 | <1% | 16 | $1K | |
| D9992 | <1% | 14 | $360.64 |
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 officialTILLMAN, MATTHEW (CO-OWNER)