Dental
Palmetto Family Dentistry of Anderson, LLC
Palmetto Family Dentistry of Anderson, LLC was paid $500K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoPALMETTO FAMILY DENTISTRY OF ANDERSON, LLC
ANDERSON, SC 29621
ANDERSON, SC 29621
33aNPI1811377120assigned 06/02/2015
33bProvider typeDentist
28Total paid$500K
24GClaims16,102
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#29 of 166
Median peer was paid$67K
This provider vs. median7.5×
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 | 2,409 | $66K | |
| 2019 | 2,145 | $64K | |
| 2020 | 2,123 | $61K | |
| 2021 | 2,966 | $104K | |
| 2022 | 2,410 | $78K | |
| 2023 | 2,227 | $66K | |
| 2024incomplete | 1,822 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 3,537 | 3,537 | $177K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 5,167 | 5,167 | $119K |
| D1206 | Topical application of fluoride varnish | 13% | 3,989 | 3,989 | $65K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.6% | 1,093 | 1,093 | $38K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 357 | 233 | $37K |
| D0274 | Bitewings - four radiographic images | 6.8% | 1,224 | 1,224 | $34K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 215 | 160 | $18K |
| D0272 | Bitewings - two radiographic images | 1.6% | 412 | 412 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 96 | 96 | $4K |
| D0330 | Panoramic radiographic image | <1% | 12 | 12 | $601.08 |
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 officialMITCHELL, JASON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Yakima Valley Memorial Hospital Association | Yakima, WA | $6.19M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.