Dental
Berkeley Family Dentistry LLC
Berkeley Family Dentistry LLC was paid $14K by Medicaid between Oct 2018 and Nov 2022, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoBERKELEY FAMILY DENTISTRY LLC
MONCKS CORNER, SC 29461
MONCKS CORNER, SC 29461
33aNPI1679984942assigned 05/08/2014
33bProvider typeDentist
28Total paid$14K
24GClaims533
24DCodes billed4
24AFirst – last monthOct 2018 – Nov 2022
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#114 of 166
Median peer was paid$67K
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 | |
|---|---|---|---|
| 2018 | 15 | $322.00 | |
| 2019 | 130 | $4K | |
| 2020 | 174 | $4K | |
| 2021 | 185 | $5K | |
| 2022 | 29 | $548.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 193 | 193 | $4K |
| D1110 | Prophylaxis - adult | 30% | 84 | 84 | $4K |
| D0274 | Bitewings - four radiographic images | 21% | 109 | 109 | $3K |
| D1206 | Topical application of fluoride varnish | 17% | 147 | 147 | $2K |
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 officialHORTON, STEPHEN (OWNER)