Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Perez Cavnaugh, Teresa

Perez Cavnaugh, Teresa was paid $4K by Medicaid between Sep 2019 and Oct 2019, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 49% of everything it billed.

33Billing provider infoPEREZ CAVNAUGH, TERESA
INDIAN LAND, SC 29707
33aNPI1760510499assigned 03/02/2007
28Total paid$4K
24GClaims220
24DCodes billed7
24AFirst – last monthSep 2019 – Oct 2019
Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#280 of 331
Median peer was paid$75K
This provider vs. median0.1×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2019220$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 49% 57 57 $2K
D1208 Topical application of fluoride, excluding varnish 16% 31 31 $702.00
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 24 24 $672.00
D0150 Comprehensive oral evaluation - new or established patient 8.5% 18 18 $378.90
D0220 Intraoral - periapical first radiographic image 5.1% 42 42 $227.80
D0272 Bitewings - two radiographic images 4.6% 22 22 $206.80
D0230 Intraoral - periapical each additional radiographic image 2.3% 26 26 $102.60

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.