Dental
Family Dental Health of Mauldin LLC
Family Dental Health of Mauldin LLC was paid $359K by Medicaid between Jul 2018 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoFAMILY DENTAL HEALTH OF MAULDIN LLC
MAULDIN, SC 29662
MAULDIN, SC 29662
33aNPI1841548930assigned 08/21/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$359K
24GClaims10,850
24DCodes billed14
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#96 of 331
Median peer was paid$75K
This provider vs. median4.8×
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 | 483 | $19K | |
| 2019 | 1,989 | $74K | |
| 2020 | 2,062 | $76K | |
| 2021 | 1,881 | $65K | |
| 2022 | 1,675 | $51K | |
| 2023 | 1,544 | $40K | |
| 2024incomplete | 1,216 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 1,992 | 1,992 | $100K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 1,179 | 1,179 | $47K |
| D0274 | Bitewings - four radiographic images | 11% | 1,480 | 1,480 | $39K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 406 | 263 | $37K |
| D1206 | Topical application of fluoride varnish | 9.3% | 2,044 | 2,044 | $33K |
| D0330 | Panoramic radiographic image | 8.6% | 653 | 653 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 1,356 | 1,356 | $30K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.4% | 450 | 450 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 741 | 738 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 92 | 67 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 151 | 150 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 214 | 202 | $2K |
2 more codes
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 officialSAFRIT, BOBBY (OWNER)
Parent organizationFDH HOLDINGS, LLC
| Provider | Location | Paid |
|---|---|---|
| Family Dental Health of Easley, LLC | Easley, SC | $526K |
| Family Dental Health of Reidville Circle, LLC | Spartanburg, SC | $112K |
| Family Dental Health of Cleveland Street, LLC | Greenville, SC | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.