Dental
Prime Dental LLC
Prime Dental LLC was paid $233K by Medicaid between Jan 2020 and May 2022, across 9 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 63% of everything it billed.
33Billing provider infoPRIME DENTAL LLC
ANDERSON, SC 29621
ANDERSON, SC 29621
33aNPI1629621933assigned 07/17/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$233K
24GClaims4,534
24DCodes billed9
24AFirst – last monthJan 2020 – May 2022
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#116 of 331
Median peer was paid$75K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2020 | 1,754 | $91K | |
| 2021 | 2,306 | $117K | |
| 2022 | 474 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 63% | 1,719 | 807 | $146K |
| D0140 | Limited oral evaluation - problem focused | 15% | 1,013 | 1,012 | $36K |
| D0330 | Panoramic radiographic image | 8.8% | 414 | 414 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 794 | 783 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 221 | 221 | $8K |
| D1110 | Prophylaxis - adult | 2.3% | 107 | 107 | $5K |
| D0272 | Bitewings - two radiographic images | 1.9% | 235 | 235 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 15 | 13 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 16 | 16 | $440.16 |
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 officialSHIRLEY, ASA (OWNER/DENTIST)
Parent organizationPRIME DENTAL LLC