Dental
Columbia Children's Dentistry, PA
Columbia Children's Dentistry, PA was paid $377K by Medicaid between Feb 2019 and Oct 2022, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoCOLUMBIA CHILDREN'S DENTISTRY, PA
COLUMBIA, SC 29204
COLUMBIA, SC 29204
33aNPI1932685872assigned 07/13/2018
33bProvider typePediatric Dentist
28Total paid$377K
24GClaims12,896
24DCodes billed17
24AFirst – last monthFeb 2019 – Oct 2022
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#61 of 86
Median peer was paid$1.24M
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 3,672 | $127K | |
| 2020 | 2,081 | $54K | |
| 2021 | 4,070 | $114K | |
| 2022 | 3,073 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 2,760 | 2,760 | $91K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 676 | 388 | $66K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,577 | 2,577 | $56K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.7% | 1,205 | 1,114 | $37K |
| D1206 | Topical application of fluoride varnish | 9.0% | 2,170 | 2,170 | $34K |
| D0272 | Bitewings - two radiographic images | 5.5% | 1,172 | 1,172 | $21K |
| D1110 | Prophylaxis - adult | 4.0% | 346 | 346 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 360 | 360 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 161 | 96 | $12K |
| D1351 | Sealant - per tooth | 2.7% | 403 | 148 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 427 | 421 | $5K |
| D0274 | Bitewings - four radiographic images | 1.1% | 166 | 166 | $4K |
5 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 44 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 282 | $3K |
| D0330 | Panoramic radiographic image | <1% | 39 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 44 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 64 | $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 officialDOVER, MICHAEL (OFFICER)