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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSteven Van De Graaff
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    Steven Van De Graaff — Billing Profile & Reimbursement Data

    NPI 1548611536 · North Augusta, SC · Dentist

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    Steven Van De Graaff is a dentist provider located in North Augusta, South Carolina. This profile covers 0 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

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    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationSteven Van De Graaff
    Address99 Crestview Dr
    CityNorth Augusta
    StateSC
    ZIP29841
    TaxonomyDentist
    NPI EnumeratedJune 30, 2016

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

    Payer SourceTotal Paid
    Medicaid$1.9M
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…2,100$130$273.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth4,280$50$201.3K
    D2392Post 2 surface resin‑based composite1,770$90$164.9K
    D0330N/A2,980$50$145.8K
    D1351Sealant - per tooth4,650$30$139.5K
    D1120Prophylaxis–child3,820$40$133.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)1,640$80$127.5K
    D0120Periodic oral evaluation - established patient5,330$20$122.7K
    D0150Comprehensive oral evaluation – new or established patient3,000$40$116.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients5,910$20$94.5K

    Showing 1–10 of 23

    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

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite95350520$100$175.3K
    D1120Prophylaxis–child107470600$30$156.7K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…14120170$130$125.1K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)60290380$90$125K
    D9230N/A1002101,150$30$115.5K
    D2391Resin‑based composite – one surface, posterior93300270$80$110.5K
    D1351Sealant - per tooth44200840$30$108.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth67590850$50$104.9K
    D0120Periodic oral evaluation - established patient1086101,060$20$100K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients82410670$20$95.1K

    Showing 1–10 of 23

    Nearby Providers

    Other providers in the same ZIP code as Steven Van De Graaff, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Performance Medical Supply IncSCDurable Medical Equipment & Medical Supplies$0$3.7M
    Deborah A. Ashcraft, D.m.d.,p.c.SCPediatric Dentistry$0$2.9M
    Covenant Family Allergy, PCSCAllergy & Immunology Physician$0$1.7M
    All About Children, LLCSCEarly Intervention Provider Agency$0$1.6M
    Melinda ForrestSCFamily Nurse Practitioner$521.5K$0
    Katherine EmbrySCFamily Medicine Physician$160.9K$0
    Janeshia RobinsonSCNurse Practitioner$142.2K$0
    Allen SloanSCPain Medicine (Anesthesiology) Physician$127.4K$0
    Lorie StumpoSCDiagnostic Radiology Physician$88.4K$0
    Tuan NguyenSCPhysical Therapist$87.4K$0

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Steven Van De Graaff — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina