Surgical Center for Dental Professionals of NC LLC

Surgical Center for Dental Professionals of NC LLC was paid $10.97M by Medicaid between Oct 2018 and Dec 2024, across 16 billing codes. Its largest line is G0330, Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room — 88% of everything it billed.

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in North Carolina

Rank by total paid#1 of 89

Median peer was paid$104K

This provider vs. median106×

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	716	$25K
2019	6,657	$265K
2020	6,414	$217K
2021	10,189	$286K
2022	14,422	$562K
2023	3,877	$1.61M
2024incomplete	3,226	$8.00M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room	88%	5,775	4,950	$9.61M
D2930	Prefabricated stainless steel crown - primary tooth	9.6%	20,252	2,696	$1.05M
D1351	Sealant - per tooth	<1%	2,100	574	$94K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	1,511	451	$62K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	885	294	$40K
D1510		<1%	152	63	$37K
D7140	Extraction, erupted tooth or exposed root	<1%	6,871	1,586	$36K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	<1%	3,900	1,254	$14K
D7240	Removal of impacted tooth - completely bony	<1%	101	25	$8K
D2934		<1%	1,381	336	$5K
D1120	Dental cleaning, childProphylaxis - child	<1%	448	404	$2K
D2933		<1%	1,132	219	$1K

4 more codes

D2330		<1%	100	$695.63
D1206	Topical application of fluoride varnish	<1%	422	$411.85
00170	Anesthesia for intraoral procedures, including biopsy	0%	17	$0.00
41899	Unlisted procedure, dentoalveolar structures	0%	454	$0.00

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 officialREEBYE, UDAY (OWNER)