Clinic
DS Dental, LLC
DS Dental, LLC was paid $40K by Medicaid between Jan 2018 and Dec 2018, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoDS DENTAL, LLC
LORIS, SC 29569
LORIS, SC 29569
33aNPI1811968159assigned 01/26/2006
33bProvider typeDental Clinic/Center
28Total paid$40K
24GClaims1,627
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Dental Clinic/Center providers in South Carolina
Rank by total paid#44 of 68
Median peer was paid$121K
This provider vs. median0.3×
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 | 1,627 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 280 | 279 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 550 | 549 | $13K |
| D1206 | Topical application of fluoride varnish | 21% | 535 | 534 | $9K |
| D0272 | Bitewings - two radiographic images | 8.6% | 183 | 183 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.6% | 54 | 54 | $2K |
| D0274 | Bitewings - four radiographic images | 1.7% | 25 | 25 | $687.75 |
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 officialSPIGUZZA, LACEY (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| DS Dental LLC | Loris, SC | $87K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.