Dental
Edisto Dental Associates LLC
Edisto Dental Associates LLC was paid $288K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoEDISTO DENTAL ASSOCIATES LLC
ORANGEBURG, SC 29118
ORANGEBURG, SC 29118
33aNPI1871779413assigned 01/14/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$288K
24GClaims11,296
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#103 of 331
Median peer was paid$75K
This provider vs. median3.8×
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 | 2,728 | $72K | |
| 2019 | 1,515 | $38K | |
| 2020 | 1,340 | $34K | |
| 2021 | 1,441 | $37K | |
| 2022 | 1,637 | $45K | |
| 2023 | 1,533 | $37K | |
| 2024incomplete | 1,102 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 1,419 | 1,419 | $71K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 2,015 | 2,015 | $46K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,062 | 1,062 | $37K |
| D0274 | Bitewings - four radiographic images | 12% | 1,288 | 1,288 | $35K |
| D1206 | Topical application of fluoride varnish | 9.6% | 1,687 | 1,687 | $28K |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 1,562 | 1,550 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 1,124 | 1,099 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 116 | 73 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 237 | 237 | $9K |
| D0330 | Panoramic radiographic image | 2.3% | 134 | 134 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 279 | 279 | $4K |
| D1351 | Sealant - per tooth | 1.5% | 146 | 39 | $4K |
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 officialJORDAN, CLIFTON (OWNER/DENTIST)