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
INDIAN LAND, SC 29707
33aNPI1760510499assigned 03/02/2007
33bProvider typeGeneral Practice Dentistry
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
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 | |
|---|---|---|---|
| 2019 | 220 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.