Redbank Family Dentistry

Redbank Family Dentistry was paid $12K by Medicaid between Mar 2018 and Apr 2023, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 59% of everything it billed.

33Billing provider infoREDBANK FAMILY DENTISTRY
GOOSE CREEK, SC 29445

33aNPI1780066589assigned 06/29/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims359

24DCodes billed5

24AFirst – last monthMar 2018 – Apr 2023

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#235 of 331

Median peer was paid$75K

This provider vs. median0.2×

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	96	$3K
2019	79	$3K
2020	78	$3K
2021	68	$2K
2022	12	$604.80
2023	26	$918.40

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	59%	147	147	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	108	108	$2K
D0274	Bitewings - four radiographic images	17%	79	79	$2K
D0140	Limited oral evaluation - problem focused	3.7%	12	12	$462.00
D1208	Topical application of fluoride, excluding varnish	1.7%	13	13	$210.60

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.

From NPPES

Who's on the registration

Authorized officialGAUTHIER, SERGE (OWNER)