Dental
VSM Columbia Pediatric Dentistry
VSM Columbia Pediatric Dentistry was paid $4.43M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 13% of everything it billed.
33Billing provider infoVSM COLUMBIA PEDIATRIC DENTISTRY
COLUMBIA, SC 29210
COLUMBIA, SC 29210
33aNPI1881015451assigned 12/26/2013
33bProvider typePediatric Dentist
28Total paid$4.43M
24GClaims110,973
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#16 of 86
Median peer was paid$1.24M
This provider vs. median3.6×
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 | 11,132 | $334K | |
| 2019 | 14,325 | $425K | |
| 2020 | 11,755 | $379K | |
| 2021 | 18,926 | $836K | |
| 2022 | 22,499 | $1.13M | |
| 2023 | 15,015 | $492K | |
| 2024incomplete | 17,321 | $841K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 4,370 | 1,628 | $555K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 5,396 | 3,047 | $535K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 9,523 | 9,523 | $329K |
| D1110 | Prophylaxis - adult | 6.5% | 5,912 | 5,912 | $290K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 12,170 | 12,170 | $278K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.4% | 2,984 | 1,032 | $241K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.1% | 7,084 | 6,782 | $227K |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 2,176 | 1,296 | $216K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 2,432 | 1,645 | $200K |
| D1206 | Topical application of fluoride varnish | 4.4% | 11,849 | 11,849 | $193K |
| D9248 | 4.1% | 2,481 | 2,378 | $180K | |
| D0274 | Bitewings - four radiographic images | 3.6% | 5,953 | 5,953 | $160K |
18 more codes
| D0272 | Bitewings - two radiographic images | 2.8% | 6,560 | $124K |
| D0330 | Panoramic radiographic image | 2.5% | 2,239 | $109K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 7,920 | $101K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 2,411 | $98K |
| D7240 | Removal of impacted tooth - completely bony | 2.0% | 337 | $90K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 10,247 | $89K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.8% | 686 | $78K |
| D2934 | 1.7% | 610 | $76K | |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 1,719 | $64K |
| D1351 | Sealant - per tooth | 1.2% | 1,819 | $54K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,716 | $43K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 689 | $32K |
| D9222 | <1% | 239 | $21K | |
| D1510 | <1% | 103 | $17K | |
| D2330 | <1% | 120 | $12K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 120 | $11K |
| D2332 | <1% | 52 | $6K | |
| D9310 | <1% | 56 | $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 officialWALKER, CRYSTAL (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Children and Teen Dental Group of Florida | Palm Harbor, FL | $5.73M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.