Dental
Family Dental Care in Marysville
Family Dental Care in Marysville was paid $23K by Medicaid between Jan 2018 and Sep 2019, across 12 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 23% of everything it billed.
33Billing provider infoFAMILY DENTAL CARE IN MARYSVILLE
MARYSVILLE, OH 43040
MARYSVILLE, OH 43040
33aNPI1053869479assigned 09/14/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$23K
24GClaims836
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#514 of 870
Median peer was paid$40K
This provider vs. median0.6×
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 | 389 | $13K | |
| 2019 | 447 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 23% | 102 | 97 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 204 | 194 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 98 | 27 | $5K |
| D1110 | Prophylaxis - adult | 13% | 96 | 93 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.2% | 46 | 16 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.2% | 27 | 13 | $1K |
| D0274 | Bitewings - four radiographic images | 3.8% | 53 | 51 | $880.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.8% | 28 | 28 | $424.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 94 | 37 | $340.00 |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 17 | 14 | $313.12 |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 58 | 55 | $265.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 1.1% | 13 | 13 | $260.00 |
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 officialKHAKSARFARD, ALI (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Family Dentistry | Urbana, OH | $388K |
| Family Dental Care | Lebanon, OH | $98K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.