Clinic
Charleston Family Dentistry of West Ashley
Charleston Family Dentistry of West Ashley was paid $18K by Medicaid between Nov 2020 and Mar 2021, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoCHARLESTON FAMILY DENTISTRY OF WEST ASHLEY
CHARLESTON, SC 29414
CHARLESTON, SC 29414
33aNPI1932711314assigned 08/18/2020
33bProvider typeDental Clinic/Center
28Total paid$18K
24GClaims518
24DCodes billed9
24AFirst – last monthNov 2020 – Mar 2021
Compared with peers
Next to other Dental Clinic/Center providers in South Carolina
Rank by total paid#51 of 68
Median peer was paid$121K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 202 | $7K | |
| 2021 | 316 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 134 | 134 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 115 | 115 | $3K |
| D0330 | Panoramic radiographic image | 14% | 51 | 51 | $3K |
| D0274 | Bitewings - four radiographic images | 13% | 88 | 88 | $2K |
| D0140 | Limited oral evaluation - problem focused | 8.7% | 43 | 43 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 6.3% | 13 | 12 | $1K |
| D0272 | Bitewings - two radiographic images | 3.5% | 34 | 34 | $633.76 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 12 | 12 | $486.00 |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 28 | 28 | $332.04 |
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 officialBARROWS, ROBERT (OWNER)