Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sunnyside Family Dentistry LLC

Sunnyside Family Dentistry LLC was paid $2.01M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 14% of everything it billed.

33Billing provider infoSUNNYSIDE FAMILY DENTISTRY LLC
LAURENS, SC 29360
33aNPI1821526294assigned 05/30/2017
33bProvider typeDental Clinic/Center
28Total paid$2.01M
24GClaims39,618
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in South Carolina

Rank by total paid#14 of 68
Median peer was paid$121K
This provider vs. median17×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20185,327$292K
20196,692$363K
20204,271$200K
20215,614$287K
20226,454$337K
20234,975$185K
2024incomplete6,285$345K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 14% 1,979 1,028 $281K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13% 2,462 1,200 $260K
D2391 Resin-based composite - one surface, posterior, primary or permanent 11% 2,591 1,192 $225K
D7140 Extraction, erupted tooth or exposed root 9.6% 2,137 850 $192K
D0150 Comprehensive oral evaluation - new or established patient 7.4% 3,715 3,715 $148K
D0330 Panoramic radiographic image 7.0% 2,950 2,950 $141K
D1110 Prophylaxis - adult 5.6% 2,248 2,248 $113K
D0274 Bitewings - four radiographic images 5.0% 3,685 3,685 $101K
D1120 Dental cleaning, childProphylaxis - child 4.6% 2,614 2,614 $91K
D2150 Silver amalgam - two surfaces, primary or permanent 3.8% 962 495 $76K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.3% 2,014 1,774 $65K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.9% 2,532 2,532 $59K
12 more codes
D1206 Topical application of fluoride varnish 2.9% 3,548 $59K
D2930 Prefabricated stainless steel crown - primary tooth 2.2% 348 $43K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.9% 279 $38K
D0220 Intraoral - periapical first radiographic image 1.8% 2,939 $36K
D2160 1.5% 309 $29K
D2140 <1% 221 $13K
D1208 Topical application of fluoride, excluding varnish <1% 651 $11K
D0230 Intraoral - periapical each additional radiographic image <1% 757 $8K
D0272 Bitewings - two radiographic images <1% 404 $8K
D0140 Limited oral evaluation - problem focused <1% 176 $7K
D2394 <1% 18 $3K
D1351 Sealant - per tooth <1% 79 $2K

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 officialAGU, CHIKA (CEO)