Dental
American Family Dental Care
American Family Dental Care was paid $37K by Medicaid between Aug 2022 and Sep 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoAMERICAN FAMILY DENTAL CARE
FALLS CHURCH, VA 22046
FALLS CHURCH, VA 22046
33aNPI1437881125assigned 06/30/2022
33bProvider typeProsthodontist
28Total paid$37K
24GClaims2,100
24DCodes billed15
24AFirst – last monthAug 2022 – Sep 2024
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 | |
|---|---|---|---|
| 2022 | 341 | $14K | |
| 2023 | 995 | $24K | |
| 2024incomplete | 764 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 420 | 406 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 19% | 141 | 135 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 216 | 202 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 404 | 401 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.3% | 50 | 25 | $3K |
| D0274 | Bitewings - four radiographic images | 4.2% | 75 | 75 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 30 | 13 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 281 | 248 | $421.37 |
| D9610 | 1.0% | 221 | 208 | $387.45 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 29 | 29 | $210.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 95 | 92 | $0.00 |
| D9994 | 0% | 13 | 13 | $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 officialHEMATI, AYESAN (PRESIDENT)