Dental
Martin Pediatric Dentistry, LLC
Martin Pediatric Dentistry, LLC was paid $1.25M by Medicaid between Jan 2018 and Dec 2022, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoMARTIN PEDIATRIC DENTISTRY, LLC
MAULDIN, SC 29662
MAULDIN, SC 29662
33aNPI1629230644assigned 06/30/2008
33bProvider typePediatric Dentist
28Total paid$1.25M
24GClaims43,370
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#43 of 86
Median peer was paid$1.24M
This provider vs. median1.0×
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 | 11,303 | $315K | |
| 2019 | 8,373 | $237K | |
| 2020 | 7,147 | $219K | |
| 2021 | 8,157 | $247K | |
| 2022 | 8,390 | $229K |
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 | 21% | 2,533 | 1,204 | $263K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 3,844 | 3,844 | $134K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 5,355 | 5,355 | $123K |
| D1110 | Prophylaxis - adult | 9.8% | 2,451 | 2,451 | $123K |
| D1208 | Topical application of fluoride, excluding varnish | 8.1% | 6,213 | 6,213 | $101K |
| D0272 | Bitewings - two radiographic images | 7.5% | 5,024 | 5,024 | $93K |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 6,128 | 5,906 | $79K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 929 | 533 | $73K |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 830 | 470 | $73K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 6,388 | 5,609 | $66K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.1% | 1,948 | 1,765 | $63K |
| D1351 | Sealant - per tooth | 2.6% | 1,086 | 394 | $33K |
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 officialMARTIN, TU-WANDA (OWNER/DENTIST)