Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Raymond S Vicente DMD LLC

Raymond S Vicente DMD LLC was paid $130K by Medicaid between Feb 2018 and Dec 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.

33Billing provider infoRAYMOND S VICENTE DMD LLC
NORTH CHARLESTON, SC 29420
33aNPI1831371913assigned 11/30/2007
33bProvider typeDentist
28Total paid$130K
24GClaims4,777
24DCodes billed11
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in South Carolina

Rank by total paid#65 of 166
Median peer was paid$67K
This provider vs. median2.0×

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$5.0K$10K2018201920202021202220232024
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
2018575$13K
2019635$18K
2020657$16K
2021678$18K
20221,281$35K
2023431$12K
2024incomplete520$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 38% 1,122 1,122 $50K
D0274 Bitewings - four radiographic images 17% 900 900 $22K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 804 804 $16K
D0220 Intraoral - periapical first radiographic image 8.2% 960 940 $11K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6.5% 110 57 $8K
D0150 Comprehensive oral evaluation - new or established patient 4.8% 169 169 $6K
D0330 Panoramic radiographic image 4.7% 155 155 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.6% 52 12 $5K
D0230 Intraoral - periapical each additional radiographic image 3.5% 472 464 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.2% 21 13 $2K
D0140 Limited oral evaluation - problem focused <1% 12 12 $315.90

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 officialVICENTE, RAYMOND (DENTIST OWNER)