Clinic
Georgea B Thekkethottiyil LLC
Georgea B Thekkethottiyil LLC was paid $302K by Medicaid between May 2023 and Dec 2024, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.
33Billing provider infoGEORGEA B THEKKETHOTTIYIL LLC
GREER, SC 29650
GREER, SC 29650
33aNPI1598482473assigned 10/21/2022
33bProvider typeDental Clinic/Center
28Total paid$302K
24GClaims5,103
24DCodes billed14
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Carolina
Rank by total paid#30 of 68
Median peer was paid$121K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2023 | 977 | $55K | |
| 2024incomplete | 4,126 | $247K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 31% | 829 | 326 | $93K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17% | 456 | 248 | $51K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 15% | 330 | 179 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.0% | 621 | 621 | $27K |
| D1110 | Prophylaxis - adult | 8.6% | 495 | 495 | $26K |
| D0274 | Bitewings - four radiographic images | 4.8% | 488 | 488 | $14K |
| D1206 | Topical application of fluoride varnish | 4.6% | 801 | 801 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 360 | 360 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.0% | 249 | 249 | $9K |
| D0330 | Panoramic radiographic image | 2.2% | 158 | 158 | $7K |
| D0272 | Bitewings - two radiographic images | 1.0% | 156 | 156 | $3K |
| D1351 | Sealant - per tooth | <1% | 54 | 13 | $2K |
2 more codes
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 officialTHEKKETHOTTIYIL, GEORGEA (OWNER)