Dental
Family Dental Center, LLC
Family Dental Center, LLC was paid $2.66M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1110, Prophylaxis - adult — 14% of everything it billed.
33Billing provider infoFAMILY DENTAL CENTER, LLC
GREENVILLE, SC 29611
GREENVILLE, SC 29611
33aNPI1134409345assigned 08/18/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$2.66M
24GClaims84,860
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#19 of 331
Median peer was paid$75K
This provider vs. median35×
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 | 16,613 | $550K | |
| 2019 | 13,685 | $416K | |
| 2020 | 12,672 | $416K | |
| 2021 | 11,620 | $353K | |
| 2022 | 12,742 | $391K | |
| 2023 | 9,615 | $277K | |
| 2024incomplete | 7,913 | $260K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 14% | 7,547 | 7,547 | $376K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 8,103 | 8,103 | $283K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 11,692 | 11,692 | $266K |
| D7140 | Extraction, erupted tooth or exposed root | 9.6% | 3,064 | 1,614 | $255K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 2,756 | 1,568 | $247K |
| D1208 | Topical application of fluoride, excluding varnish | 7.7% | 12,516 | 12,516 | $204K |
| D0274 | Bitewings - four radiographic images | 7.6% | 7,477 | 7,477 | $204K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 4,376 | 4,376 | $171K |
| D1351 | Sealant - per tooth | 6.0% | 5,291 | 1,475 | $159K |
| D0140 | Limited oral evaluation - problem focused | 5.1% | 3,632 | 3,611 | $137K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 1,547 | 931 | $111K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 8,791 | 8,687 | $110K |
11 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 6,196 | $57K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 464 | $22K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 137 | $19K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 135 | $15K |
| D0272 | Bitewings - two radiographic images | <1% | 571 | $11K |
| D1206 | Topical application of fluoride varnish | <1% | 440 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 50 | $4K |
| D2335 | <1% | 24 | $3K | |
| D2140 | <1% | 26 | $1K | |
| D7111 | <1% | 13 | $865.80 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $432.00 |
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 officialSTATHAKIS, PETER (CFO)
| Provider | Location | Paid |
|---|---|---|
| Dental Dreams PLLC | Saginaw, MI | $4.01M |
| Family Dental Center, LLC | Columbia, SC | $3.87M |
| Family Dental LLC | Rock Hill, SC | $3.49M |
| Dental Dreams PLLC | Muskegon, MI | $1.90M |
| Von Westernhagen Dental Corporation | Highland, CA | $602K |
| Von Westernhagen Dental Corporation | Fontana, CA | $565K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.