Dental
Grand Strand Pediatric Dentistry
Grand Strand Pediatric Dentistry was paid $4.00M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoGRAND STRAND PEDIATRIC DENTISTRY
MYRTLE BEACH, SC 29588
MYRTLE BEACH, SC 29588
33aNPI1881800480assigned 05/14/2007
33bProvider typePediatric Dentist
28Total paid$4.00M
24GClaims117,370
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#18 of 86
Median peer was paid$1.24M
This provider vs. median3.2×
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 | 20,637 | $727K | |
| 2019 | 19,822 | $682K | |
| 2020 | 2,385 | $87K | |
| 2021 | 18,879 | $645K | |
| 2022 | 19,246 | $657K | |
| 2023 | 17,121 | $531K | |
| 2024incomplete | 19,280 | $671K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 5,806 | 3,562 | $606K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 14,315 | 14,315 | $501K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 20,108 | 20,108 | $473K |
| D1206 | Topical application of fluoride varnish | 8.6% | 20,953 | 20,953 | $345K |
| D1110 | Prophylaxis - adult | 8.0% | 6,346 | 6,346 | $321K |
| D1351 | Sealant - per tooth | 6.5% | 8,583 | 2,527 | $259K |
| D0272 | Bitewings - two radiographic images | 5.6% | 11,663 | 11,663 | $222K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 2,538 | 2,078 | $218K |
| D7140 | Extraction, erupted tooth or exposed root | 5.4% | 2,336 | 1,503 | $214K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.1% | 1,589 | 915 | $206K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.4% | 5,424 | 5,321 | $176K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 2,459 | 2,437 | $95K |
14 more codes
| D0330 | Panoramic radiographic image | 2.3% | 2,013 | $93K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 6,662 | $87K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 3,760 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 868 | $36K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 612 | $27K |
| D2330 | <1% | 228 | $16K | |
| D7111 | <1% | 236 | $16K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 188 | $15K |
| D0274 | Bitewings - four radiographic images | <1% | 435 | $13K |
| D2331 | <1% | 97 | $8K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 43 | $5K |
| D9248 | <1% | 40 | $3K | |
| D9420 | <1% | 25 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 43 | $696.60 |
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 officialNEWMAN, WINONA (OWNER)
Parent organizationGRAND STRAND PEDIATRIC DENTISTRY