Child Prophylaxis (D1120) in South Carolina

Name: Child Prophylaxis (D1120) Reimbursement Rates in South Carolina — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: child prophylaxis cost, child prophylaxis reimbursement rate, D1120 PPO rate, child prophylaxis negotiated rate, D1120 fee schedule, dental child prophylaxis price, D1120 dental insurance rate, dental cleaning cost

Negotiated reimbursement rates for D1120 from CMS Transparency in Coverage data. Based on 20 rate records from 20 providers in South Carolina.

Average Negotiated Rate in South Carolina

$46

20 rate records · 20 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D1120 in South Carolina. 19 provider records.

Provider	City	Rate	Percentile
General Dentist	Columbia	$88	100th
Philip WitkinGeneral Dentist	Walterboro	$70	95th
R Nicholas Cost Jr Dds PaGeneral Dentist	Laurens	$64	90th
Harmony Oral And Facial Surgery LlcDentist	Tega Cay	$61	85th
Riccobene & Associates Ccci, Dds, PcOral Surgeon	North Myrtle Beach	$58	80th
Ryan O'Malley LlcDentist	Simpsonville	$57	75th
Earl B Hartzog Dmd PaGeneral Dentist	Bamberg	$56	70th
Lucia CovingtonOral Surgeon	Murrells Inlet	$46	60th
Oral Surgery Of South Carolina LlcOral Surgeon	N Charleston	$45	55th
Oral Surgeon	Ladson	$40	50th
Indian Land Oral & Facial Surgery LlcOral Surgeon	Fort Mill	$40	50th
University Medical AssociatesOral & Maxillofacial Surgery (MD)	Charleston	$38	40th
Elizabeth SittonGeneral Dentist	Fort Mill	$30	30th
Anthony FuscoGeneral Dentist	Fort Mill	$30	30th
Matthew HowellGeneral Dentist	Rock Hill	$30	30th
Nand KalariaGeneral Dentist	Fort Mill	$30	30th
Jorge GonzalezGeneral Dentist	Rock Hill	$30	30th
Oral & Maxillofacial Surgery (MD)	Rock Hill	$26	5th

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What is D1120?

Child Prophylaxis (CDT Code D1120) — These rates represent negotiated amounts between dental insurance payors and providers in South Carolina as reported in CMS Transparency in Coverage machine-readable files.

Top States for D1120

North Dakota

$74

1 records

Oregon

$69

3 records

New York

$69

6 records

36+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$42

Low

$26

High

$88

25th Percentile

$30

75th Percentile

$57

Data Points

Compare D1120 Rates Across All 39 States

North Dakota

$74

Oregon

$69

New York

$69

Nevada

$67

Washington

$63

Arizona

$61

New Jersey

$54

California

$50

Louisiana

$50

Georgia

$49

Texas

$48

Wisconsin

$47

South Carolina

$46

New Mexico

$46

Florida

$44

Puerto Rico

$44

Maryland

$40

Colorado

$39

Indiana

$38

Pennsylvania

$36

Connecticut

$36

Delaware

$36

Michigan

$35

Rhode Island

$34

Nebraska

$33

Kentucky

$32

Ohio

$32

Massachusetts

$31

Oklahoma

$31

Illinois

$31

North Carolina

$30

West Virginia

$30

Wyoming

$28

Minnesota

$26

Iowa

$22

Idaho

$22

Kansas

$22

Missouri

$22

Tennessee

$22

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