Southern Dental Care, LLC

Southern Dental Care, LLC was paid $35K by Medicaid between Jan 2021 and Jul 2023, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 41% of everything it billed.

33Billing provider infoSOUTHERN DENTAL CARE, LLC
MARRERO, LA 70072

33aNPI1992115919assigned 04/29/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$35K

24GClaims1,394

24DCodes billed9

24AFirst – last monthJan 2021 – Jul 2023

Compared with peers

Next to other General Practice Dentistry providers in Louisiana

Rank by total paid#248 of 412

Median peer was paid$83K

This provider vs. median0.4×

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	635	$17K
2022	535	$13K
2023	224	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	41%	631	560	$14K
D1110	Prophylaxis - adult	30%	267	233	$10K
D1120	Dental cleaning, childProphylaxis - child	13%	160	146	$5K
D1208	Topical application of fluoride, excluding varnish	9.4%	212	191	$3K
D0210	Intraoral - complete series of radiographic images	2.1%	12	12	$722.04
D0272	Bitewings - two radiographic images	1.6%	28	27	$578.61
D0150	Comprehensive oral evaluation - new or established patient	1.6%	13	13	$568.44
D0220	Intraoral - periapical first radiographic image	1.4%	57	43	$484.77
D0230	Intraoral - periapical each additional radiographic image	<1%	14	14	$136.62

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 officialANDREOTTA, LACEY (OWNER, DENTIST)