Dental
Lake City Family Dentistry
Lake City Family Dentistry was paid $206K by Medicaid between Jan 2018 and Nov 2019, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoLAKE CITY FAMILY DENTISTRY
LAKE CITY, SC 29560
LAKE CITY, SC 29560
33aNPI1689710139assigned 01/30/2007
33bProvider typeDentist
28Total paid$206K
24GClaims6,498
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#56 of 166
Median peer was paid$67K
This provider vs. median3.1×
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 | 3,055 | $94K | |
| 2019 | 3,443 | $112K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 957 | 957 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,179 | 1,179 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 259 | 186 | $26K |
| D0274 | Bitewings - four radiographic images | 13% | 952 | 952 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 1,476 | 1,476 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 508 | 508 | $18K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.1% | 327 | 288 | $11K |
| D0272 | Bitewings - two radiographic images | 4.1% | 462 | 462 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 109 | 89 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 127 | 127 | $5K |
| D0330 | Panoramic radiographic image | 2.2% | 90 | 90 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 27 | 27 | $1K |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 25 | $320.75 |
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 officialHOBBS, WINDY (INSURANCE CLERK)
| Provider | Location | Paid |
|---|---|---|
| Lake City Family Dentistry | Lake City, SC | $312K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.