Eastside Family Dental Care, LLC

Eastside Family Dental Care, LLC was paid $30K by Medicaid between Jan 2018 and Mar 2023, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.

33Billing provider infoEASTSIDE FAMILY DENTAL CARE, LLC
ANDERSON, SC 29621

33aNPI1639432990assigned 06/21/2012

33bProvider typeDentist

28Total paid$30K

24GClaims854

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Dentist providers in South Carolina

Rank by total paid#97 of 166

Median peer was paid$67K

This provider vs. median0.4×

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	295	$10K
2019	129	$4K
2020	201	$8K
2021	104	$3K
2022	101	$4K
2023	24	$851.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	51%	360	360	$15K
D0150	Comprehensive oral evaluation - new or established patient	16%	122	122	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	198	198	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	11%	43	25	$3K
D0274	Bitewings - four radiographic images	6.5%	92	92	$2K
D0220	Intraoral - periapical first radiographic image	1.6%	39	39	$473.94

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 officialHARDEN, JOHN (DENTIST)