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    OpenPayerNPI Medicare & MedicaidIrby Street Dental Health Center, P.C.
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    Irby Street Dental Health Center, P.C. — Billing Profile & Reimbursement Data

    NPI 1104225325 · Florence, SC · General Practice Dentistry

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    Irby Street Dental Health Center, P.C. is a general practice dentistry provider located in Florence, South Carolina. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationIrby Street Dental Health Center, P.C.
    Address943 S Irby St Unit A
    CityFlorence
    StateSC
    ZIP29501
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedAugust 14, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$10.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite13,470$110$1.4M
    D1120Prophylaxis–child40,280$40$1.4M
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients59,330$20$949.2K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth18,340$50$935.4K
    D0120Periodic oral evaluation - established patient38,000$20$912.1K
    D0150Comprehensive oral evaluation – new or established patient16,210$40$664.4K
    D9230N/A17,990$30$593.5K
    D0330N/A11,080$50$554.1K
    D2391Resin‑based composite – one surface, posterior6,190$90$532.3K
    D0274N/A18,590$30$483.3K

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. South Carolina median

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A521301,060$150$371.1K
    D2392Post 2 surface resin‑based composite5350520$100$175.3K
    D1120Prophylaxis–child7470600$30$156.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)100290380$90$125K
    D9230N/A62101,150$30$115.5K
    D2391Resin‑based composite – one surface, posterior12300270$80$110.5K
    D1351Sealant - per tooth10200840$30$108.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth9590850$50$104.9K
    D0120Periodic oral evaluation - established patient106101,060$20$100K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients6410670$20$95.1K

    Showing 1–10 of 22

    Nearby Providers

    Other providers in the same ZIP code as Irby Street Dental Health Center, P.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nightingale's Nursing & Attendant Care Services, Inc.SCHome Health Agency$0$90M
    Florence Ck, LLCSCHome Health Agency$0$13.3M
    Lifehme, Inc.SCOxygen Equipment & Supplies (DME)$0$12M
    Hopehealth, Inc.SCFederally Qualified Health Center (FQHC)$0$11.1M
    Advanced Healthcare Staffing Solutions, LLCSCHome Health Agency$0$11M
    Tender Care Home Health Care LLCSCHome Health Agency$0$8.1M
    Active Sc One, Inc.SCAdult Day Care Clinic/Center$0$5.2M
    Starting Point Of Florence, IncSCSubstance Use Disorder Rehabilitation Clinic/Center$181.2K$4.6M
    Florence County Commission On Alcohol And DruSCSubstance Abuse Rehabilitation Facility$0$4.5M
    Wellspring Psychology Group LLCSCClinical Psychologist$0$4.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Carolina Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Irby Street Dental Health Center, P.C. — 16 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina