Mcdonald, Cedrick

Mcdonald, Cedrick was paid $8K by Medicaid between Jun 2019 and Mar 2021, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.

33Billing provider infoMCDONALD, CEDRICK
INDIAN LAND, SC 29707

33aNPI1811197460assigned 07/23/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims358

24DCodes billed8

24AFirst – last monthJun 2019 – Mar 2021

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#254 of 331

Median peer was paid$75K

This provider vs. median0.1×

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
2019	278	$6K
2020	67	$1K
2021	13	$544.74

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	24%	45	44	$2K
D1120	Dental cleaning, childProphylaxis - child	18%	44	44	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	53	52	$1K
D1206	Topical application of fluoride varnish	13%	68	67	$1K
D0150	Comprehensive oral evaluation - new or established patient	9.6%	19	19	$791.10
D0220	Intraoral - periapical first radiographic image	9.4%	58	56	$769.04
D0230	Intraoral - periapical each additional radiographic image	7.6%	58	51	$624.10
D0274	Bitewings - four radiographic images	3.8%	13	12	$316.25

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.