Clinic
SDC KL LLC
SDC KL LLC was paid $1.02M by Medicaid between May 2021 and Dec 2024, across 20 billing codes. Its largest line is D9410, — 65% of everything it billed.
33Billing provider infoSDC KL LLC
TAYLORSVILLE, NC 28681
TAYLORSVILLE, NC 28681
33aNPI1790370997assigned 03/09/2021
33bProvider typeDental Clinic/Center
28Total paid$1.02M
24GClaims27,079
24DCodes billed20
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in North Carolina
Rank by total paid#23 of 105
Median peer was paid$224K
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 | |
|---|---|---|---|
| 2021 | 2,045 | $98K | |
| 2022 | 5,720 | $175K | |
| 2023 | 10,839 | $456K | |
| 2024incomplete | 8,475 | $293K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9410 | 65% | 11,490 | 9,230 | $668K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 4,257 | 3,736 | $141K |
| D1110 | Prophylaxis - adult | 6.3% | 2,089 | 1,833 | $64K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 2,310 | 1,986 | $47K |
| D0250 | 2.7% | 1,789 | 1,393 | $28K | |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 422 | 364 | $20K |
| D7250 | 1.4% | 137 | 47 | $14K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 818 | 312 | $8K |
| D1206 | Topical application of fluoride varnish | <1% | 2,017 | 1,760 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 460 | 374 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 153 | 138 | $5K |
| D5110 | <1% | 37 | 21 | $4K |
8 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 officialCLOUD, KATINA (MANAGER)