Carolina Aesthetic Dentistry PA

Carolina Aesthetic Dentistry PA was paid $14K by Medicaid between Jan 2018 and Jan 2021, across 6 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 37% of everything it billed.

33Billing provider infoCAROLINA AESTHETIC DENTISTRY PA
SPARTANBURG, SC 29302

33aNPI1922115658assigned 08/25/2006

33bProvider typeEndodontist

28Total paid$14K

24GClaims603

24DCodes billed6

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Endodontist providers in South Carolina

Rank by total paid#18 of 19

Median peer was paid$773K

This provider vs. median0.0×

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	180	$4K
2019	192	$4K
2020	219	$6K
2021	12	$194.40

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	37%	332	332	$5K
D1110	Prophylaxis - adult	28%	84	84	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	147	147	$3K
D0150	Comprehensive oral evaluation - new or established patient	4.2%	15	15	$607.50
D0330	Panoramic radiographic image	4.2%	12	12	$601.08
D1120	Dental cleaning, childProphylaxis - child	3.2%	13	13	$452.40

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 officialNICHOLSON, KATHERINE (DENTIST)