Dental
Coastal Pediatric Dentistry, LLC
Coastal Pediatric Dentistry, LLC was paid $13.85M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 12% of everything it billed.
33Billing provider infoCOASTAL PEDIATRIC DENTISTRY, LLC
HILTON HEAD, SC 29926
HILTON HEAD, SC 29926
33aNPI1780736546assigned 01/18/2007
33bProvider typePediatric Dentist
28Total paid$13.85M
24GClaims404,140
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#3 of 86
Median peer was paid$1.24M
This provider vs. median11×
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 | 45,556 | $1.56M | |
| 2019 | 51,462 | $1.83M | |
| 2020 | 47,811 | $1.63M | |
| 2021 | 59,316 | $1.91M | |
| 2022 | 67,899 | $2.24M | |
| 2023 | 63,935 | $2.08M | |
| 2024incomplete | 68,161 | $2.61M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 47,376 | 47,376 | $1.62M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 61,184 | 61,184 | $1.43M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10.0% | 13,120 | 9,938 | $1.38M |
| D1206 | Topical application of fluoride varnish | 8.1% | 68,509 | 68,509 | $1.12M |
| D1110 | Prophylaxis - adult | 7.8% | 21,942 | 21,942 | $1.08M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 12,280 | 9,236 | $1.07M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.6% | 8,208 | 4,650 | $1.05M |
| D7140 | Extraction, erupted tooth or exposed root | 7.2% | 10,377 | 6,512 | $997K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.7% | 29,193 | 27,973 | $926K |
| D0272 | Bitewings - two radiographic images | 4.2% | 30,930 | 30,930 | $582K |
| D0274 | Bitewings - four radiographic images | 3.9% | 19,817 | 19,817 | $546K |
| D1351 | Sealant - per tooth | 3.6% | 17,077 | 5,453 | $500K |
15 more codes
| D0330 | Panoramic radiographic image | 2.4% | 7,318 | $330K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 19,871 | $257K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 5,611 | $231K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 20,781 | $219K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 4,504 | $172K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 1,152 | $94K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,859 | $81K |
| D9420 | <1% | 576 | $45K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 311 | $42K |
| D2330 | <1% | 564 | $39K | |
| D0240 | <1% | 1,280 | $21K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 185 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 89 | $1K |
| D7111 | <1% | 14 | $938.00 | |
| D9920 | <1% | 12 | $852.00 |
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 officialRANEY, BRANDY (OFFICE MANAGER)