Dental
Solomon Kids Pediatric Dentistry Knightsville LLC
Solomon Kids Pediatric Dentistry Knightsville LLC was paid $1.30M by Medicaid between Mar 2018 and Dec 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoSOLOMON KIDS PEDIATRIC DENTISTRY KNIGHTSVILLE LLC
SUMMERVILLE, SC 29483
SUMMERVILLE, SC 29483
33aNPI1770006876assigned 07/20/2017
33bProvider typePediatric Dentist
28Total paid$1.30M
24GClaims40,072
24DCodes billed20
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#42 of 86
Median peer was paid$1.24M
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 | 1,530 | $33K | |
| 2019 | 3,388 | $93K | |
| 2020 | 3,677 | $129K | |
| 2021 | 8,195 | $289K | |
| 2022 | 10,107 | $354K | |
| 2023 | 5,900 | $158K | |
| 2024incomplete | 7,275 | $250K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 5,963 | 5,963 | $203K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,628 | 919 | $158K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 5,814 | 5,814 | $133K |
| D1206 | Topical application of fluoride varnish | 9.9% | 8,059 | 8,059 | $129K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.2% | 981 | 333 | $120K |
| D1110 | Prophylaxis - adult | 6.8% | 1,837 | 1,837 | $89K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.8% | 2,369 | 2,205 | $75K |
| D0272 | Bitewings - two radiographic images | 5.5% | 3,922 | 3,922 | $72K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 821 | 557 | $65K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 1,432 | 1,432 | $57K |
| D7140 | Extraction, erupted tooth or exposed root | 4.2% | 650 | 330 | $55K |
| D0274 | Bitewings - four radiographic images | 2.6% | 1,422 | 1,422 | $34K |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 2,502 | $32K |
| D0330 | Panoramic radiographic image | 2.3% | 782 | $30K |
| D1351 | Sealant - per tooth | 1.5% | 686 | $20K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 456 | $17K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 209 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 508 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 19 | $2K |
| D0240 | <1% | 12 | $203.94 |
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 officialBAZZLE, ANGELA (OPERATION MANAGER)
| Provider | Location | Paid |
|---|---|---|
| SFD Kids LLC | Summerville, SC | $2.45M |
| Solomon Oral Surgery LLC | Mount Pleasant, SC | $1.23M |
| SFD Carnes LLC | Summerville, SC | $588K |
| SFD MT. Pleasant LLC | Mount Pleasant, SC | $337K |
| SFD Knightsville LLC | Summerville, SC | $327K |
| Live Oak Endontics | Summerville, SC | $76K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.