Dental
Lake City Family Dentistry
Lake City Family Dentistry was paid $312K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoLAKE CITY FAMILY DENTISTRY
LAKE CITY, SC 29560
LAKE CITY, SC 29560
33aNPI1770671968assigned 10/11/2006
33bProvider typeDentist
28Total paid$312K
24GClaims10,701
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#44 of 166
Median peer was paid$67K
This provider vs. median4.7×
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 | 1,535 | $42K | |
| 2019 | 130 | $4K | |
| 2020 | 2,567 | $80K | |
| 2021 | 2,223 | $64K | |
| 2022 | 1,953 | $56K | |
| 2023 | 1,420 | $40K | |
| 2024incomplete | 873 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 2,288 | 2,288 | $114K |
| D0274 | Bitewings - four radiographic images | 17% | 1,972 | 1,972 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 2,236 | 2,236 | $51K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 3,022 | 3,022 | $49K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 424 | 424 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 83 | 53 | $9K |
| D0272 | Bitewings - two radiographic images | 2.6% | 440 | 440 | $8K |
| D0330 | Panoramic radiographic image | 1.7% | 103 | 103 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 94 | 94 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 39 | 25 | $3K |
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 officialHOBBS, WINDY (ACCOUNTS PAYABLE)
| Provider | Location | Paid |
|---|---|---|
| Lake City Family Dentistry | Lake City, SC | $206K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.