Dental
Acuity Dentistry and Orthodontics
Acuity Dentistry and Orthodontics was paid $64K by Medicaid between Mar 2018 and Mar 2022, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoACUITY DENTISTRY AND ORTHODONTICS
SUMMERVILLE, SC 29483
SUMMERVILLE, SC 29483
33aNPI1922546506assigned 02/03/2017
33bProvider typeDentist
28Total paid$64K
24GClaims2,077
24DCodes billed12
24AFirst – last monthMar 2018 – Mar 2022
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#86 of 166
Median peer was paid$67K
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 | 59 | $2K | |
| 2019 | 152 | $5K | |
| 2020 | 574 | $16K | |
| 2021 | 985 | $33K | |
| 2022 | 307 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 377 | 377 | $18K |
| D0274 | Bitewings - four radiographic images | 13% | 322 | 322 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 201 | 201 | $8K |
| D0330 | Panoramic radiographic image | 11% | 161 | 161 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.0% | 71 | 38 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 7.0% | 387 | 375 | $4K |
| D0140 | Limited oral evaluation - problem focused | 6.4% | 118 | 116 | $4K |
| D1206 | Topical application of fluoride varnish | 4.5% | 180 | 180 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 129 | 129 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 25 | 15 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 94 | 87 | $773.94 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 12 | 12 | $417.60 |
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 officialWICKIZER, KEITH (OWNER)