Dental
Palmetto Comprehensive Dentistry LLC
Palmetto Comprehensive Dentistry LLC was paid $82K by Medicaid between Jan 2018 and Nov 2023, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoPALMETTO COMPREHENSIVE DENTISTRY LLC
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1740351097assigned 11/10/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$82K
24GClaims4,102
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#163 of 331
Median peer was paid$75K
This provider vs. median1.1×
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 | 312 | $8K | |
| 2019 | 630 | $10K | |
| 2020 | 808 | $14K | |
| 2021 | 852 | $18K | |
| 2022 | 969 | $19K | |
| 2023 | 531 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 604 | 604 | $22K |
| D0274 | Bitewings - four radiographic images | 20% | 628 | 628 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 707 | 707 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 699 | 690 | $9K |
| D1206 | Topical application of fluoride varnish | 8.9% | 449 | 449 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.3% | 794 | 608 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 129 | 129 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 42 | 42 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.4% | 38 | 38 | $1K |
| D0330 | Panoramic radiographic image | <1% | 12 | 12 | $463.53 |
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 officialHUTCHINSON, STEVEN (DENTIST OWNER)