FAMILY FIRST DENTAL ASSOCIATES OF SAC CITY, P.C.

NPI: 1013183789 · LAKE VIEW, IA 51450 · General Practice Dentistry · NPI assigned 05/02/2008

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official SKOGLUND, CHARLES controls 18+ related entities in our dataset. Read more

$14K

Total Medicaid Paid

542

Total Claims

529

Beneficiaries

Codes Billed

2018-02

First Month

2018-11

Last Month

Provider Details

Authorized Official	SKOGLUND, CHARLES (OWNER)
NPI Enumeration Date	05/02/2008

Other providers sharing the same authorized official: SKOGLUND, CHARLES

Provider	City	State	Total Paid
FAMILY FIRST DENTAL ASSOCIATES OF SAC CITY, P.C.	SAC CITY	IA	$393K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.	STORM LAKE	IA	$323K
FAMILY FIRST DENTAL ASSOCIATES OF WEST POINT, P.C.	GRAND ISLAND	NE	$191K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.	SIOUX CITY	IA	$171K
FAMILY FIRST DENTAL ASSOCIATES OF IOWA, P.C.	SIOUX CITY	IA	$167K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.	LE MARS	IA	$163K
FAMILY FIRST DENTAL ASSOCIATES OF COLUMBUS, P.C.	COLUMBUS	NE	$123K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.	HAWARDEN	IA	$115K
FAMILY FIRST DENTALASSOCCIATES OF WEST POINT, P.C.	FREMONT	NE	$63K
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.	ONAWA	IA	$59K
FAMILY FIRST DENTAL OF PRIMGHAR, P.C.	LAKE CITY	IA	$46K
FAMILY FIRST DENTAL ASSOCIATES OF WEST POINT, P.C.	SOUTH SIOUX CITY	NE	$42K
FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C.	HARTINGTON	NE	$40K
FAMILY FIRST DENTAL ASSOCIATES OF HICKMAN, P.C.	HICKMAN	NE	$31K
FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C.	WAYNE	NE	$15K
FAMILY FIRST DENTAL ASSOCIATES OF NEBRASKA, PC	NORFOLK	NE	$7K
FAMILY FIRST DENTAL ASSOCIATES OF NEBRASKA, P.C.	NORFOLK	NE	$1K
FAMILY FIRST DENTAL ASSOCIATES OF WEST POINT, P.C.	DAKOTA CITY	NE	$218.25

Year	Claims	Total Paid
2018	542	$14K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	118	117	$5K
D0120	Periodic oral evaluation - established patient	172	169	$4K
D1206	Topical application of fluoride varnish	192	189	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	21	15	$1K
D0274	Bitewings - four radiographic images	27	27	$826.30
D0220	Intraoral - periapical first radiographic image	12	12	$124.28