Dental
Family Dental Health of Moore LLC
Family Dental Health of Moore LLC was paid $15K by Medicaid between Sep 2022 and Jun 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 45% of everything it billed.
33Billing provider infoFAMILY DENTAL HEALTH OF MOORE LLC
MOORE, SC 29369
MOORE, SC 29369
33aNPI1659047801assigned 08/18/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$15K
24GClaims585
24DCodes billed7
24AFirst – last monthSep 2022 – Jun 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#227 of 331
Median peer was paid$75K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 213 | $6K | |
| 2023 | 197 | $6K | |
| 2024incomplete | 175 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 45% | 177 | 177 | $7K |
| D1110 | Prophylaxis - adult | 16% | 58 | 58 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 93 | 93 | $2K |
| D1206 | Topical application of fluoride varnish | 11% | 112 | 112 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 87 | 85 | $1K |
| D0274 | Bitewings - four radiographic images | 4.9% | 31 | 31 | $752.71 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 27 | 27 | $273.49 |
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 officialILLSLEY, BETH (DIRECTOR OF INSURANCE)
Parent organizationFDH HOLDINGS LLC
| Provider | Location | Paid |
|---|---|---|
| Family Dental Health of Greer, LLC | Greer, SC | $656K |
| Family Dental Health of Greenridge, LLC | Greenville, SC | $415K |
| Family Dental Health of Furman LLC | Greenville, SC | $113K |
| Family Dental Health of Mountain View, LLC | Greer, SC | $17K |
| Family Dental Health of Murray Landing LLC | Columbia, SC | $13K |
| Family Dental Health of Creekside LLC | Greenville, SC | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.