Dental
Carolina Dental Docs LLC General Dentistry for Kids
Carolina Dental Docs LLC General Dentistry for Kids was paid $4.13M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoCAROLINA DENTAL DOCS LLC GENERAL DENTISTRY FOR KIDS
SPARTANBURG, SC 29306
SPARTANBURG, SC 29306
33aNPI1942601174assigned 09/08/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$4.13M
24GClaims121,926
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#12 of 331
Median peer was paid$75K
This provider vs. median55×
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 | 12,805 | $432K | |
| 2019 | 19,134 | $610K | |
| 2020 | 17,210 | $560K | |
| 2021 | 18,383 | $602K | |
| 2022 | 16,140 | $457K | |
| 2023 | 17,317 | $561K | |
| 2024incomplete | 20,937 | $909K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 15,567 | 15,567 | $546K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 14,588 | 14,588 | $347K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.2% | 2,659 | 1,277 | $340K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 3,266 | 1,977 | $338K |
| D1206 | Topical application of fluoride varnish | 8.0% | 20,073 | 20,073 | $331K |
| D1110 | Prophylaxis - adult | 6.8% | 5,527 | 5,527 | $280K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 2,668 | 1,510 | $241K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.2% | 6,654 | 6,377 | $217K |
| D0274 | Bitewings - four radiographic images | 4.6% | 6,835 | 6,835 | $190K |
| D1351 | Sealant - per tooth | 4.5% | 6,140 | 1,740 | $184K |
| D7140 | Extraction, erupted tooth or exposed root | 4.2% | 1,575 | 900 | $173K |
| D0330 | Panoramic radiographic image | 4.0% | 3,406 | 3,406 | $167K |
14 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 3,917 | $161K |
| D0272 | Bitewings - two radiographic images | 3.7% | 8,010 | $152K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 7,209 | $92K |
| D9248 | 1.6% | 922 | $66K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 6,962 | $62K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.4% | 684 | $57K |
| D0145 | Oral evaluation for a patient under three years of age | 1.3% | 1,223 | $55K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 1,301 | $50K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 277 | $26K |
| D0240 | <1% | 1,202 | $22K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,107 | $18K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 78 | $10K |
| D9222 | <1% | 64 | $6K | |
| D9920 | <1% | 12 | $620.40 |
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 officialNASIM, JIM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Saluda Dental Group | Saluda, SC | $1.52M |
| Union Dental Group, LLC. | Union, SC | $1.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.