Dental
Family Dental Associates
Family Dental Associates was paid $113K by Medicaid between Jan 2018 and Sep 2022, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 58% of everything it billed.
33Billing provider infoFAMILY DENTAL ASSOCIATES
RUTLAND, VT 05701
RUTLAND, VT 05701
33aNPI1487853644assigned 07/17/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$113K
24GClaims6,182
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other General Practice Dentistry providers in Vermont
Rank by total paid#26 of 88
Median peer was paid$57K
This provider vs. median2.0×
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 | 649 | $21K | |
| 2019 | 489 | $15K | |
| 2020 | 608 | $20K | |
| 2021 | 1,986 | $30K | |
| 2022 | 2,450 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 58% | 2,383 | 1,481 | $65K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 2,792 | 1,457 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 185 | 154 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.4% | 374 | 157 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 400 | 114 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 17 | 12 | $774.00 |
| D0274 | Bitewings - four radiographic images | <1% | 17 | 15 | $420.00 |
| D0272 | Bitewings - two radiographic images | <1% | 14 | 12 | $288.00 |
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 officialKOLODZEJ, ROBERT (SENIOR PARTNER)