Dental
Palmetto Smiles Dentistry Partnership
Palmetto Smiles Dentistry Partnership was paid $559K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoPALMETTO SMILES DENTISTRY PARTNERSHIP
LEXINGTON, SC 29072
LEXINGTON, SC 29072
33aNPI1922214766assigned 05/16/2007
33bProvider typePediatric Dentist
28Total paid$559K
24GClaims21,973
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#53 of 86
Median peer was paid$1.24M
This provider vs. median0.5×
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 | 3,705 | $97K | |
| 2019 | 3,408 | $86K | |
| 2020 | 2,494 | $61K | |
| 2021 | 3,384 | $85K | |
| 2022 | 3,408 | $88K | |
| 2023 | 2,988 | $75K | |
| 2024incomplete | 2,586 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 5,993 | 5,993 | $134K |
| D1110 | Prophylaxis - adult | 23% | 2,656 | 2,656 | $126K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 6,300 | 6,300 | $102K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 2,673 | 2,673 | $90K |
| D0272 | Bitewings - two radiographic images | 8.5% | 2,617 | 2,617 | $48K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.4% | 1,553 | 1,533 | $47K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 53 | 36 | $5K |
| D9248 | <1% | 63 | 63 | $4K | |
| D1351 | Sealant - per tooth | <1% | 40 | 13 | $1K |
| D0330 | Panoramic radiographic image | <1% | 25 | 25 | $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 officialRAINES, KEVIN (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Capital Children's Dental Center, LLC | Columbia, SC | $2.56M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.