Dental
Pageland Dentistry PA
Pageland Dentistry PA was paid $577K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoPAGELAND DENTISTRY PA
PAGELAND, SC 29728
PAGELAND, SC 29728
33aNPI1689088676assigned 06/17/2014
33bProvider typePublic Health Dentist
28Total paid$577K
24GClaims24,594
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Public Health Dentist providers in South Carolina
Rank by total paid#3 of 5
Median peer was paid$577K
This provider vs. median1.0×
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 | 3,550 | $79K | |
| 2019 | 4,094 | $102K | |
| 2020 | 3,233 | $74K | |
| 2021 | 4,186 | $100K | |
| 2022 | 4,338 | $105K | |
| 2023 | 3,159 | $71K | |
| 2024incomplete | 2,034 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 2,443 | 2,443 | $122K |
| D0274 | Bitewings - four radiographic images | 15% | 3,278 | 3,278 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 3,384 | 3,384 | $77K |
| D1206 | Topical application of fluoride varnish | 11% | 4,059 | 4,059 | $66K |
| D0220 | Intraoral - periapical first radiographic image | 9.9% | 4,487 | 4,422 | $57K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 1,520 | 1,520 | $52K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.6% | 4,180 | 4,107 | $44K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 360 | 240 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 321 | 321 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 124 | 79 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 65 | 46 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 248 | 248 | $5K |
2 more codes
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 officialVORONINA, ANASTASIA (OWNER/DENTIST)