Dental
Eastside Pediatric Dentistry PA
Eastside Pediatric Dentistry PA was paid $9.99M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 12% of everything it billed.
33Billing provider infoEASTSIDE PEDIATRIC DENTISTRY PA
GREENVILLE, SC 29615
GREENVILLE, SC 29615
33aNPI1841263845assigned 02/09/2006
33bProvider typePediatric Dentist
28Total paid$9.99M
24GClaims271,703
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#4 of 86
Median peer was paid$1.24M
This provider vs. median8.1×
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 | |
|---|---|---|---|
| 2018 | 41,851 | $1.60M | |
| 2019 | 41,794 | $1.55M | |
| 2020 | 38,829 | $1.45M | |
| 2021 | 39,539 | $1.43M | |
| 2022 | 37,682 | $1.33M | |
| 2023 | 31,987 | $1.08M | |
| 2024incomplete | 40,021 | $1.55M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 11,490 | 7,320 | $1.17M |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 29,733 | 29,733 | $1.04M |
| D7140 | Extraction, erupted tooth or exposed root | 9.3% | 10,256 | 5,166 | $926K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 38,526 | 38,526 | $899K |
| D9248 | 7.5% | 10,733 | 10,338 | $747K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.2% | 8,862 | 6,597 | $718K |
| D1110 | Prophylaxis - adult | 7.1% | 14,279 | 14,279 | $714K |
| D1206 | Topical application of fluoride varnish | 7.1% | 43,469 | 43,469 | $710K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.7% | 17,709 | 16,953 | $567K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.7% | 2,988 | 2,214 | $370K |
| D0274 | Bitewings - four radiographic images | 3.7% | 13,416 | 13,416 | $365K |
| D0272 | Bitewings - two radiographic images | 3.5% | 18,626 | 18,626 | $347K |
14 more codes
| D0330 | Panoramic radiographic image | 2.6% | 5,742 | $263K |
| D1351 | Sealant - per tooth | 1.9% | 6,260 | $186K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 13,094 | $170K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 15,348 | $160K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 3,384 | $139K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 1,007 | $125K |
| D0145 | Oral evaluation for a patient under three years of age | 1.0% | 2,354 | $101K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,145 | $82K |
| D7111 | <1% | 868 | $57K | |
| D2332 | <1% | 532 | $56K | |
| D1510 | <1% | 277 | $47K | |
| D2330 | <1% | 386 | $25K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 178 | $14K |
| D0240 | <1% | 41 | $591.95 |
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 officialHEAD, GLENN (OWNER)