Augusta Street Dental Associates, P.A.

Augusta Street Dental Associates, P.A. was paid $397K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.

33Billing provider infoAUGUSTA STREET DENTAL ASSOCIATES, P.A.
GREENVILLE, SC 29605

33aNPI1922301639assigned 12/20/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$397K

24GClaims11,378

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#88 of 331

Median peer was paid$75K

This provider vs. median5.3×

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	1,341	$53K
2019	1,645	$68K
2020	1,419	$50K
2021	1,704	$52K
2022	1,820	$57K
2023	1,514	$42K
2024incomplete	1,935	$75K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	29%	2,281	2,281	$115K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	14%	556	217	$54K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	2,168	2,168	$50K
D0274	Bitewings - four radiographic images	11%	1,593	1,593	$43K
D0330	Panoramic radiographic image	9.6%	791	791	$38K
D1208	Topical application of fluoride, excluding varnish	7.8%	1,880	1,880	$31K
D0150	Comprehensive oral evaluation - new or established patient	7.0%	697	697	$28K
D1120	Dental cleaning, childProphylaxis - child	3.2%	369	369	$13K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.9%	156	74	$11K
D0220	Intraoral - periapical first radiographic image	2.1%	686	676	$8K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	65	61	$2K
D0140	Limited oral evaluation - problem focused	<1%	39	39	$1K

2 more codes

D0272	Bitewings - two radiographic images	<1%	52	$984.88
D0230	Intraoral - periapical each additional radiographic image	<1%	45	$458.35

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 officialGROCE, TYWANA (PRESIDENT)