Dental
Benavides, Nicolas
Benavides, Nicolas was paid $7K by Medicaid between Jan 2018 and Feb 2018, across 4 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 49% of everything it billed.
33Billing provider infoBENAVIDES, NICOLAS
ANDERSON, SC 29621
ANDERSON, SC 29621
33aNPI1881116002assigned 07/10/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims147
24DCodes billed4
24AFirst – last monthJan 2018 – Feb 2018
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#255 of 331
Median peer was paid$75K
This provider vs. median0.1×
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 | 147 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 49% | 76 | 18 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 27% | 25 | 25 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 34 | 34 | $1K |
| D1110 | Prophylaxis - adult | 6.0% | 12 | 12 | $444.43 |
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.