Palmetto Dental Studio Pelzer, LLC

Palmetto Dental Studio Pelzer, LLC was paid $5K by Medicaid between Jan 2018 and May 2018, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.

33Billing provider infoPALMETTO DENTAL STUDIO PELZER, LLC
PELZER, SC 29669

33aNPI1932509221assigned 08/25/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims149

24DCodes billed4

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#276 of 331

Median peer was paid$75K

This provider vs. median0.1×

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	149	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	51%	59	59	$2K
D0150	Comprehensive oral evaluation - new or established patient	22%	27	27	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	50	50	$1K
D0272	Bitewings - two radiographic images	5.0%	13	13	$246.22

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 officialBUTCHER, ANDY (OWNER)