Dental
Goose Creek Dental Care LLC
Goose Creek Dental Care LLC was paid $815.40 by Medicaid between Mar 2021 and Mar 2021, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 74% of everything it billed.
33Billing provider infoGOOSE CREEK DENTAL CARE LLC
GOOSE CREEK, SC 29445
GOOSE CREEK, SC 29445
33aNPI1992094536assigned 04/05/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$815.40
24GClaims29
24DCodes billed2
24AFirst – last monthMar 2021 – Mar 2021
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#312 of 331
Median peer was paid$75K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 29 | $815.40 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 74% | 14 | 14 | $604.80 |
| D1208 | Topical application of fluoride, excluding varnish | 26% | 15 | 15 | $210.60 |
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 officialBARGANIER, JASON (OWNER)