Dental
Charleston Smiles SD
Charleston Smiles SD was paid $485K by Medicaid between Dec 2023 and Dec 2024, across 17 billing codes. Its largest line is D1351, Sealant - per tooth — 15% of everything it billed.
33Billing provider infoCHARLESTON SMILES SD
CHARLESTON, SC 29407
CHARLESTON, SC 29407
33aNPI1912771163assigned 11/08/2023
33bProvider typePediatric Dentist
28Total paid$485K
24GClaims13,452
24DCodes billed17
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#57 of 86
Median peer was paid$1.24M
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2023 | 694 | $22K | |
| 2024incomplete | 12,758 | $463K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 15% | 2,409 | 547 | $75K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 606 | 374 | $67K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,116 | 2,116 | $55K |
| D1110 | Prophylaxis - adult | 11% | 984 | 984 | $52K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 1,330 | 1,330 | $49K |
| D1206 | Topical application of fluoride varnish | 8.4% | 2,295 | 2,295 | $41K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 357 | 213 | $40K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.4% | 787 | 760 | $26K |
| D0330 | Panoramic radiographic image | 4.2% | 345 | 345 | $21K |
| D0272 | Bitewings - two radiographic images | 4.0% | 983 | 983 | $20K |
| D0274 | Bitewings - four radiographic images | 3.6% | 592 | 592 | $18K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.4% | 53 | 39 | $7K |
5 more codes
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 officialDABUSH, SHMUEL (PEDIATRIC DENTIST)