Dental
Dental Innovations LLC
Dental Innovations LLC was paid $345K by Medicaid between Jan 2018 and Sep 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoDENTAL INNOVATIONS LLC
GREENVILLE, SC 29607
GREENVILLE, SC 29607
33aNPI1790192870assigned 07/21/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$345K
24GClaims8,329
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#97 of 331
Median peer was paid$75K
This provider vs. median4.6×
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 | 1,295 | $51K | |
| 2019 | 976 | $40K | |
| 2020 | 667 | $26K | |
| 2021 | 874 | $29K | |
| 2022 | 1,653 | $48K | |
| 2023 | 1,195 | $41K | |
| 2024incomplete | 1,669 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 1,085 | 1,085 | $54K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 14% | 513 | 336 | $47K |
| D9222 | 10% | 338 | 337 | $36K | |
| D0140 | Limited oral evaluation - problem focused | 10% | 917 | 917 | $35K |
| D2950 | 10.0% | 247 | 144 | $34K | |
| D0274 | Bitewings - four radiographic images | 8.6% | 1,102 | 1,102 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.5% | 844 | 844 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 1,487 | 1,453 | $19K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 5.0% | 31 | 27 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 377 | 377 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 138 | 75 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 588 | 588 | $10K |
3 more codes
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 officialMARCELLO, SAMANTHA (OWNER)