Dental
Oak Landing Pediatric Dentistry, LLC
Oak Landing Pediatric Dentistry, LLC was paid $598K by Medicaid between Jun 2020 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 35% of everything it billed.
33Billing provider infoOAK LANDING PEDIATRIC DENTISTRY, LLC
SUMMERVILLE, SC 29486
SUMMERVILLE, SC 29486
33aNPI1649825969assigned 08/04/2019
33bProvider typePediatric Dentist
28Total paid$598K
24GClaims13,645
24DCodes billed22
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#52 of 86
Median peer was paid$1.24M
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 675 | $41K | |
| 2021 | 1,676 | $89K | |
| 2022 | 3,355 | $145K | |
| 2023 | 3,746 | $129K | |
| 2024incomplete | 4,193 | $193K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 35% | 1,628 | 459 | $211K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,098 | 2,098 | $73K |
| D1206 | Topical application of fluoride varnish | 6.5% | 2,358 | 2,358 | $39K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 1,434 | 1,434 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.3% | 305 | 177 | $32K |
| D0145 | Oral evaluation for a patient under three years of age | 5.0% | 488 | 488 | $30K |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 754 | 752 | $28K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.4% | 819 | 792 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 593 | 593 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 256 | 149 | $22K |
| D0272 | Bitewings - two radiographic images | 3.7% | 1,198 | 1,198 | $22K |
| D9310 | 2.6% | 244 | 243 | $16K |
10 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 92 | $11K |
| D1110 | Prophylaxis - adult | 1.7% | 218 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 644 | $8K |
| D0240 | <1% | 260 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 37 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 168 | $2K |
| D9222 | <1% | 12 | $1K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 12 | $1K |
| D9420 | <1% | 12 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 15 | $420.00 |
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 officialROSS, GABRIEL (OWNER/DENTIST)