Dental
South Vienna Family Dental
South Vienna Family Dental was paid $6K by Medicaid between Mar 2018 and Jun 2020, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 35% of everything it billed.
33Billing provider infoSOUTH VIENNA FAMILY DENTAL
SOUTH VIENNA, OH 45369
SOUTH VIENNA, OH 45369
33aNPI1023416294assigned 12/19/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$6K
24GClaims395
24DCodes billed8
24AFirst – last monthMar 2018 – Jun 2020
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#637 of 870
Median peer was paid$40K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 41 | $965.95 | |
| 2019 | 101 | $2K | |
| 2020 | 253 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 35% | 84 | 82 | $2K |
| D0140 | Limited oral evaluation - problem focused | 23% | 62 | 52 | $1K |
| D1110 | Prophylaxis - adult | 9.1% | 17 | 14 | $546.08 |
| D0330 | Panoramic radiographic image | 8.5% | 14 | 13 | $509.52 |
| D0220 | Intraoral - periapical first radiographic image | 7.0% | 98 | 83 | $417.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 25 | 21 | $406.92 |
| D0230 | Intraoral - periapical each additional radiographic image | 6.3% | 77 | 70 | $375.00 |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 18 | 15 | $270.00 |
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 officialKHAN, IRFAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Greenway Endocrinology, PA | Greenbelt, MD | $83K |
| Polaris Dental Care Dublin, Irfan Khan DDS, LLC | Dublin, OH | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.