Dental
Clarendon Family Dentistry INC
Clarendon Family Dentistry INC was paid $26K by Medicaid between Apr 2018 and Oct 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 44% of everything it billed.
33Billing provider infoCLARENDON FAMILY DENTISTRY INC
MANNING, SC 29102
MANNING, SC 29102
33aNPI1740445253assigned 07/23/2008
33bProvider typeDentist
28Total paid$26K
24GClaims958
24DCodes billed4
24AFirst – last monthApr 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#99 of 166
Median peer was paid$67K
This provider vs. median0.4×
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 | 199 | $5K | |
| 2019 | 249 | $7K | |
| 2020 | 46 | $1K | |
| 2021 | 111 | $3K | |
| 2022 | 163 | $5K | |
| 2023 | 124 | $3K | |
| 2024incomplete | 66 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 44% | 508 | 508 | $11K |
| D1110 | Prophylaxis - adult | 42% | 229 | 229 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 190 | 190 | $3K |
| D0272 | Bitewings - two radiographic images | 2.2% | 31 | 31 | $580.34 |
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 officialLEE, DEREK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Perrysburg Counseling Services, LLC | Perrysburg, OH | $1.31M |
| Yiu Fun Derek Lee MD INC | Hacienda Heights, CA | $24K |
| Metropolitan Ear Nose and Throat & Facial Plastic Surgery PA | Livingston, NJ | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.