Dental
Family Dental Practice, LLC
Family Dental Practice, LLC was paid $38K by Medicaid between Mar 2018 and Dec 2022, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoFAMILY DENTAL PRACTICE, LLC
AUGUSTA, ME 04330
AUGUSTA, ME 04330
33aNPI1033266606assigned 01/04/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$38K
24GClaims1,548
24DCodes billed11
24AFirst – last monthMar 2018 – Dec 2022
Compared with peers
Next to other General Practice Dentistry providers in Maine
Rank by total paid#16 of 44
Median peer was paid$10K
This provider vs. median3.8×
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 | 25 | $288.00 | |
| 2019 | 27 | $316.00 | |
| 2020 | 71 | $1K | |
| 2021 | 556 | $13K | |
| 2022 | 869 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 270 | 253 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 225 | 215 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 185 | 179 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 366 | 355 | $4K |
| D1206 | Topical application of fluoride varnish | 8.2% | 162 | 159 | $3K |
| D0274 | Bitewings - four radiographic images | 6.6% | 89 | 89 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 42 | 42 | $2K |
| D0330 | Panoramic radiographic image | 4.7% | 43 | 43 | $2K |
| D0190 | 3.7% | 101 | 101 | $1K | |
| D1320 | 3.7% | 51 | 50 | $1K | |
| D0191 | 0% | 14 | 14 | $0.00 |
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 officialMUNIER, CHARLES (GENERAL PARTNER)