Dental
R Nicholas Cost JR DDS PA
R Nicholas Cost JR DDS PA was paid $210K by Medicaid between Jan 2018 and Aug 2021, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoR NICHOLAS COST JR DDS PA
LAURENS, SC 29360
LAURENS, SC 29360
33aNPI1699051466assigned 10/25/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$210K
24GClaims8,900
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#123 of 331
Median peer was paid$75K
This provider vs. median2.8×
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 | 3,274 | $79K | |
| 2019 | 2,618 | $73K | |
| 2020 | 1,751 | $33K | |
| 2021 | 1,257 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 1,126 | 1,126 | $35K |
| D1206 | Topical application of fluoride varnish | 12% | 1,716 | 1,716 | $26K |
| D1110 | Prophylaxis - adult | 12% | 587 | 587 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,109 | 1,109 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.6% | 210 | 93 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 1,273 | 1,269 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.1% | 405 | 405 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.1% | 190 | 79 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 1,224 | 1,214 | $12K |
| D0274 | Bitewings - four radiographic images | 5.5% | 469 | 469 | $11K |
| D0272 | Bitewings - two radiographic images | 3.5% | 408 | 408 | $7K |
| D1351 | Sealant - per tooth | 1.7% | 159 | 47 | $4K |
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 officialCOST, RODNEY (PRESIDENT)