Dental
Midlands Pediatric Dentistry LLC
Midlands Pediatric Dentistry LLC was paid $2.78M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.
33Billing provider infoMIDLANDS PEDIATRIC DENTISTRY LLC
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1841667037assigned 08/24/2015
33bProvider typePediatric Dentist
28Total paid$2.78M
24GClaims77,601
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#26 of 86
Median peer was paid$1.24M
This provider vs. median2.2×
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 | 11,901 | $535K | |
| 2019 | 11,116 | $418K | |
| 2020 | 10,145 | $357K | |
| 2021 | 10,955 | $355K | |
| 2022 | 12,173 | $424K | |
| 2023 | 10,374 | $287K | |
| 2024incomplete | 10,937 | $406K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 3,221 | 825 | $403K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 10,931 | 10,931 | $381K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 11,747 | 11,747 | $274K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.3% | 1,630 | 797 | $202K |
| D7140 | Extraction, erupted tooth or exposed root | 7.0% | 2,131 | 1,110 | $194K |
| D1206 | Topical application of fluoride varnish | 6.8% | 11,557 | 11,557 | $190K |
| D1110 | Prophylaxis - adult | 6.5% | 3,576 | 3,576 | $179K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.9% | 1,989 | 618 | $165K |
| D0272 | Bitewings - two radiographic images | 4.0% | 5,941 | 5,941 | $112K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 3,056 | 3,027 | $98K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 1,926 | 1,926 | $79K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 782 | 467 | $78K |
12 more codes
| D0330 | Panoramic radiographic image | 2.6% | 1,495 | $72K |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 1,314 | $58K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 5,579 | $49K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 3,695 | $47K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 956 | $37K |
| D9420 | 1.3% | 414 | $36K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 2,225 | $36K |
| D0240 | 1.3% | 2,003 | $35K | |
| D9248 | 1.0% | 431 | $28K | |
| D0274 | Bitewings - four radiographic images | <1% | 936 | $26K |
| D2332 | <1% | 20 | $2K | |
| D1351 | Sealant - per tooth | <1% | 46 | $1K |
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 officialSHOUN, ROBERT (DENTIST/OWNER)