Dental
Pediatric Dentistry of Greenville,p.A.
Pediatric Dentistry of Greenville,p.A. was paid $1.24M by Medicaid between Jan 2018 and Jul 2020, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 12% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF GREENVILLE,P.A.
GREENVILLE, SC 29615
GREENVILLE, SC 29615
33aNPI1902884984assigned 01/09/2006
33bProvider typePediatric Dentist
28Total paid$1.24M
24GClaims40,723
24DCodes billed23
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#44 of 86
Median peer was paid$1.24M
This provider vs. median1.0×
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 | 15,994 | $453K | |
| 2019 | 17,810 | $559K | |
| 2020 | 6,919 | $225K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 4,247 | 4,247 | $146K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 5,499 | 5,499 | $125K |
| D1351 | Sealant - per tooth | 8.5% | 3,555 | 1,167 | $105K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 999 | 702 | $101K |
| D1110 | Prophylaxis - adult | 8.1% | 2,016 | 2,016 | $100K |
| D1208 | Topical application of fluoride, excluding varnish | 8.1% | 6,250 | 6,250 | $100K |
| D0272 | Bitewings - two radiographic images | 7.7% | 5,099 | 5,099 | $96K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.9% | 695 | 429 | $85K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.1% | 2,342 | 2,302 | $75K |
| D7111 | 5.0% | 936 | 543 | $61K | |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 729 | 442 | $60K |
| D0330 | Panoramic radiographic image | 3.8% | 949 | 949 | $47K |
11 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 3,546 | $45K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 2,744 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 305 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 371 | $15K |
| D0140 | Limited oral evaluation - problem focused | <1% | 210 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 45 | $6K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 34 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 92 | $2K |
| D1510 | <1% | 13 | $2K | |
| D2331 | <1% | 16 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 31 | $1K |
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 officialMARTINEZ, KIM (OFFICE ASSITANT)
| Provider | Location | Paid |
|---|---|---|
| Choices, INC. | Anchorage, AK | $1.27M |
| Choices, INC | Anchorage, AK | $113K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.