Dental
Issaqueena Pediatric Dentistry P.A.
Issaqueena Pediatric Dentistry P.A. was paid $15.40M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoISSAQUEENA PEDIATRIC DENTISTRY P.A.
SENECA, SC 29678
SENECA, SC 29678
33aNPI1992056378assigned 09/26/2012
33bProvider typePediatric Dentist
28Total paid$15.40M
24GClaims426,516
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#2 of 86
Median peer was paid$1.24M
This provider vs. median12×
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 | 48,015 | $1.71M | |
| 2019 | 55,595 | $1.97M | |
| 2020 | 50,831 | $1.88M | |
| 2021 | 60,947 | $2.23M | |
| 2022 | 74,694 | $2.64M | |
| 2023 | 65,516 | $2.05M | |
| 2024incomplete | 70,918 | $2.92M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 60,828 | 60,826 | $2.12M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 73,106 | 73,098 | $1.71M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 12,921 | 4,302 | $1.64M |
| D1206 | Topical application of fluoride varnish | 9.4% | 88,354 | 88,344 | $1.45M |
| D1110 | Prophylaxis - adult | 8.6% | 26,598 | 26,589 | $1.33M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.4% | 12,596 | 8,874 | $1.30M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 9,911 | 7,167 | $836K |
| D1351 | Sealant - per tooth | 4.5% | 23,132 | 7,164 | $691K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 6,371 | 3,794 | $614K |
| D0272 | Bitewings - two radiographic images | 3.9% | 31,546 | 31,540 | $600K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.9% | 18,463 | 17,750 | $595K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 9,433 | 9,431 | $389K |
16 more codes
| D9248 | 2.4% | 5,349 | $372K | |
| D0330 | Panoramic radiographic image | 2.3% | 7,006 | $355K |
| D0145 | Oral evaluation for a patient under three years of age | 2.3% | 8,163 | $352K |
| D0274 | Bitewings - four radiographic images | 1.8% | 10,221 | $280K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 5,054 | $194K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 1,400 | $129K |
| D0240 | <1% | 6,482 | $125K | |
| D9222 | <1% | 930 | $105K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,532 | $84K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 594 | $77K |
| D2330 | <1% | 261 | $18K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 203 | $17K |
| D2331 | <1% | 125 | $11K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 741 | $7K |
| D2332 | <1% | 53 | $6K | |
| D9992 | <1% | 143 | $4K |
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 officialHORTON, CAMILLE (PRESIDENT)