Intercoastal Endo, PC

Intercoastal Endo, PC was paid $24K by Medicaid between Jan 2018 and May 2021, across 3 billing codes. Its largest line is D3330, Endodontic therapy, molar tooth (excluding final restoration) — 52% of everything it billed.

33Billing provider infoINTERCOASTAL ENDO, PC
MYRTLE BEACH, SC 29577

33aNPI1881007946assigned 06/06/2014

33bProvider typeEndodontist

28Total paid$24K

24GClaims499

24DCodes billed3

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other Endodontist providers in South Carolina

Rank by total paid#17 of 19

Median peer was paid$773K

This provider vs. median0.0×

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

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	365	$20K
2019	60	$2K
2020	34	$795.60
2021	40	$872.58

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D3330	Endodontic therapy, molar tooth (excluding final restoration)	52%	24	24	$12K
D0140	Limited oral evaluation - problem focused	33%	207	207	$8K
D0220	Intraoral - periapical first radiographic image	14%	268	267	$3K

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 officialCONARD, MARK (PRESIDENT)