Tooth Family Dentistry

Tooth Family Dentistry was paid $142K by Medicaid between Jan 2018 and Nov 2020, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.

33Billing provider infoTOOTH FAMILY DENTISTRY
DUBLIN, OH 43017

33aNPI1396289526assigned 12/07/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$142K

24GClaims5,037

24DCodes billed15

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#271 of 870

Median peer was paid$40K

This provider vs. median3.5×

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	2,373	$71K
2019	2,199	$60K
2020	465	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	17%	466	247	$23K
D0150	Comprehensive oral evaluation - new or established patient	16%	882	853	$22K
D0330	Panoramic radiographic image	13%	445	438	$19K
D1110	Prophylaxis - adult	13%	563	545	$18K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	11%	261	157	$16K
D0274	Bitewings - four radiographic images	11%	828	803	$16K
D7140	Extraction, erupted tooth or exposed root	5.7%	144	14	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.8%	439	430	$7K
D0140	Limited oral evaluation - problem focused	3.3%	250	224	$5K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	2.0%	52	12	$3K
D0220	Intraoral - periapical first radiographic image	1.5%	443	377	$2K
D1208	Topical application of fluoride, excluding varnish	<1%	96	94	$1K

3 more codes

D1120	Dental cleaning, child	<1%	51	$940.00
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	18	$870.57
D0230	Intraoral - periapical each additional radiographic image	<1%	99	$465.00

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 officialSAFAVIAN, MEHRDAD (OWNER)