Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MILWAUKEE › FAMILIA DENTAL RIVER GLEN LLC

FAMILIA DENTAL RIVER GLEN LLC

NPI: 1154794584 · MILWAUKEE, WI 53212 · General Practice Dentistry · NPI assigned 11/06/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TAYLOR, BRANDON controls 20+ related entities in our dataset. Read more

$2.73M
Total Medicaid Paid
202,149
Total Claims
141,164
Beneficiaries
26
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialTAYLOR, BRANDON (CREDENTIALING & PAYER RELATIONS MAN)
NPI Enumeration Date11/06/2015

Related Entities

Other providers sharing the same authorized official: TAYLOR, BRANDON

ProviderCityStateTotal Paid
FAMILIA DENTAL RACINE LLC RACINE WI $17.95M
FAMILIA DENTAL WEST GREEN BAY GREEN BAY WI $15.05M
FAMILIA DENTAL GREEN BAY EAST LLC GREEN BAY WI $13.16M
FAMILIA DENTAL EVANSVILLE LLC EVANSVILLE IN $9.76M
FAMILIA DENTAL FORT WAYNE PLLC FORT WAYNE IN $8.72M
FAMILIA DENTAL MKEMITCHELL LLC MILWAUKEE WI $8.49M
FAMILIA DENTAL JANESVILLE LLC JANESVILLE WI $5.77M
FAMILIA DENTALCLOVIS LLC CLOVIS NM $5.67M
FAMILIA DENTAL ROS LLC ROSWELL NM $5.59M
FAMILIA DENTAL HOB LLC HOBBS NM $4.89M
FAMILIA DENTAL LAS CRUCES LLC LAS CRUCES NM $4.68M
FAMILIA DENTAL SPFW PLLC FORT WAYNE IN $4.45M
FAMILIA DENTAL ESP LLC ESPANOLA NM $4.13M
FAMILIA DENTAL KENOSHA LLC KENOSHA WI $3.66M
FAMILIA DENTAL INDIANAPOLIS LAFAYETTE, LLC INDIANAPOLIS IN $3.28M
FAMILIA DENTAL INDIANAPOLIS AVONDALE, LLC INDIANAPOLIS IN $2.86M
FAMILIA DENTAL TERRE HAUTE LLC TERRE HAUTE IN $2.75M
FAMILIA DENTAL DAVENPORT LLC DAVENPORT IA $2.66M
FAMILIA DENTAL CARLSBAD LLC CARLSBAD NM $2.55M
FAMILIA DENTAL LUBBOCK PLLC LUBBOCK TX $2.06M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41,051 $655K
2019 30,596 $435K
2020 33,954 $350K
2021 49,270 $450K
2022 21,515 $358K
2023 25,763 $486K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7,672 3,751 $312K
D1351 Sealant - per tooth 23,376 2,698 $290K
D1110 Prophylaxis - adult 11,423 9,397 $255K
D0150 Comprehensive oral evaluation - new or established patient 14,401 11,766 $234K
D1120 Prophylaxis - child 11,545 9,868 $227K
D0274 Bitewings - four radiographic images 16,671 13,779 $217K
D0120 Periodic oral evaluation - established patient 13,529 11,656 $179K
D0220 Intraoral - periapical first radiographic image 29,503 24,356 $177K
D1206 Topical application of fluoride varnish 15,893 13,791 $176K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5,168 2,505 $157K
D0230 Intraoral - periapical each additional radiographic image 32,096 22,184 $143K
D0272 Bitewings - two radiographic images 7,596 6,419 $84K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,346 812 $73K
D0140 Limited oral evaluation - problem focused 4,191 3,449 $61K
D4355 991 838 $53K
D7140 Extraction, erupted tooth or exposed root 1,608 675 $38K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 396 244 $26K
D0210 Intraoral - complete series of radiographic images 466 437 $18K
D1208 Topical application of fluoride, excluding varnish 840 590 $8K
D2394 37 26 $2K
D7111 45 28 $2K
D0270 183 150 $901.60
D9110 44 26 $193.97
D1999 3,014 1,646 $0.00
D8670 Periodic orthodontic treatment visit 35 33 $0.00
D1330 80 40 $0.00