Clinic
Familia Dental Davenport LLC
Familia Dental Davenport LLC was paid $2.66M by Medicaid between Jan 2018 and Feb 2024, across 30 billing codes. Its largest line is D1110, Prophylaxis - adult — 13% of everything it billed.
33Billing provider infoFAMILIA DENTAL DAVENPORT LLC
DAVENPORT, IA 52806
DAVENPORT, IA 52806
33aNPI1205287067assigned 06/23/2016
33bProvider typeDental Clinic/Center
28Total paid$2.66M
24GClaims150,955
24DCodes billed30
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Dental Clinic/Center providers in Iowa
Rank by total paid#3 of 61
Median peer was paid$33K
This provider vs. median80×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TAYLOR, BRANDON controls 20+ related entities in our dataset. Read more
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 | 20,941 | $416K | |
| 2019 | 31,655 | $684K | |
| 2020 | 36,555 | $538K | |
| 2021 | 44,945 | $670K | |
| 2022 | 7,935 | $172K | |
| 2023 | 7,647 | $153K | |
| 2024incomplete | 1,277 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 13% | 11,658 | 10,056 | $352K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 4,928 | 3,007 | $285K |
| D1351 | Sealant - per tooth | 7.6% | 14,963 | 1,190 | $203K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.4% | 4,575 | 2,699 | $197K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 10,090 | 8,752 | $195K |
| D0274 | Bitewings - four radiographic images | 7.3% | 10,508 | 9,183 | $195K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 13,456 | 11,427 | $190K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.0% | 9,319 | 7,827 | $185K |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 3,654 | 1,521 | $155K |
| D1206 | Topical application of fluoride varnish | 4.6% | 11,176 | 8,869 | $122K |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 9,167 | 8,454 | $119K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 14,216 | 12,315 | $118K |
18 more codes
| D0140 | Limited oral evaluation - problem focused | 3.4% | 4,117 | $90K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 14,537 | $84K |
| D0272 | Bitewings - two radiographic images | 1.8% | 3,756 | $49K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 624 | $35K |
| D4341 | <1% | 364 | $23K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 302 | $19K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 383 | $15K |
| D2330 | <1% | 203 | $9K | |
| D2335 | <1% | 107 | $6K | |
| D2740 | Crown - porcelain/ceramic | <1% | 24 | $5K |
| D0270 | <1% | 618 | $4K | |
| D2331 | <1% | 32 | $2K | |
| D2332 | <1% | 27 | $1K | |
| D4355 | <1% | 24 | $788.06 | |
| D0460 | <1% | 51 | $589.08 | |
| D0240 | <1% | 17 | $319.28 | |
| D9110 | <1% | 34 | $261.30 | |
| D1999 | 0% | 8,025 | $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 officialTAYLOR, BRANDON (CREDENTALING & PAYER RELATIONS MGR)
| Provider | Location | 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 River Glen LLC | Milwaukee, WI | $2.73M |
| Familia Dental Carlsbad LLC | Carlsbad, NM | $2.55M |
| Familia Dental Lubbock PLLC | Lubbock, TX | $2.06M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.