Dental
Palmetto Mobile Dental Centers LLC
Palmetto Mobile Dental Centers LLC was paid $123K by Medicaid between Feb 2018 and Jul 2021, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 34% of everything it billed.
33Billing provider infoPALMETTO MOBILE DENTAL CENTERS LLC
COLUMBIA, SC 29201
COLUMBIA, SC 29201
33aNPI1588175087assigned 10/24/2017
33bProvider typeDentist
28Total paid$123K
24GClaims2,856
24DCodes billed9
24AFirst – last monthFeb 2018 – Jul 2021
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#66 of 166
Median peer was paid$67K
This provider vs. median1.9×
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 | 129 | $4K | |
| 2019 | 2,521 | $113K | |
| 2020 | 194 | $6K | |
| 2021 | 12 | $236.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 34% | 1,035 | 1,035 | $42K |
| D7140 | Extraction, erupted tooth or exposed root | 19% | 308 | 101 | $23K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 17% | 188 | 46 | $21K |
| D1110 | Prophylaxis - adult | 13% | 310 | 310 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 457 | 457 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 5.0% | 126 | 126 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 225 | 225 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 195 | 195 | $2K |
| D9310 | <1% | 12 | 12 | $236.60 |
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 officialNAPPER, MARK (AUTHORIZED OFFICIAL)