Dental
Madison Family Dental Prof LLC
Madison Family Dental Prof LLC was paid $52K by Medicaid between Sep 2019 and Nov 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 47% of everything it billed.
33Billing provider infoMADISON FAMILY DENTAL PROF LLC
MADISON, SD 57042
MADISON, SD 57042
33aNPI1184279036assigned 08/07/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$52K
24GClaims1,675
24DCodes billed6
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in South Dakota
Rank by total paid#38 of 81
Median peer was paid$39K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2019 | 72 | $2K | |
| 2020 | 133 | $4K | |
| 2021 | 244 | $8K | |
| 2022 | 496 | $16K | |
| 2023 | 414 | $11K | |
| 2024incomplete | 316 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 47% | 781 | 768 | $24K |
| D1206 | Topical application of fluoride varnish | 29% | 618 | 613 | $15K |
| D1110 | Prophylaxis - adult | 14% | 142 | 142 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 107 | 107 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 13 | 13 | $580.41 |
| D0274 | Bitewings - four radiographic images | <1% | 14 | 14 | $514.48 |
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 officialKEYES, TROY (OWNER/DDS)
| Provider | Location | Paid |
|---|---|---|
| Madison Family Dental | Madison, SD | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.