Dental
A Healthy Smile
A Healthy Smile was paid $884K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoA HEALTHY SMILE
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1669874053assigned 09/17/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$884K
24GClaims27,809
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#46 of 331
Median peer was paid$75K
This provider vs. median12×
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 | 2,006 | $57K | |
| 2019 | 2,237 | $64K | |
| 2020 | 3,192 | $102K | |
| 2021 | 3,599 | $101K | |
| 2022 | 5,010 | $166K | |
| 2023 | 5,873 | $191K | |
| 2024incomplete | 5,892 | $204K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 4,600 | 4,600 | $161K |
| D1110 | Prophylaxis - adult | 13% | 2,352 | 2,352 | $119K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 4,792 | 4,792 | $113K |
| D1206 | Topical application of fluoride varnish | 12% | 6,588 | 6,588 | $109K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10.0% | 2,148 | 2,147 | $88K |
| D0210 | Intraoral - complete series of radiographic images | 7.2% | 1,134 | 1,134 | $64K |
| D0274 | Bitewings - four radiographic images | 6.3% | 1,963 | 1,963 | $56K |
| D1351 | Sealant - per tooth | 5.2% | 1,514 | 428 | $46K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 227 | 149 | $24K |
| D0272 | Bitewings - two radiographic images | 2.2% | 1,026 | 1,026 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 220 | 133 | $19K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 420 | 414 | $16K |
7 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.6% | 111 | $14K |
| D7111 | 1.6% | 207 | $14K | |
| D0330 | Panoramic radiographic image | 1.5% | 281 | $13K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 59 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 125 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 28 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | $226.80 |
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 officialSPENCER, HARVEY (CO-OWNER; GENERAL DENTIST)