Dental
Family Dental Associates
Family Dental Associates was paid $369K by Medicaid between Jan 2018 and Jul 2021, across 20 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 17% of everything it billed.
33Billing provider infoFAMILY DENTAL ASSOCIATES
OMAHA, NE 68134
OMAHA, NE 68134
33aNPI1528238995assigned 03/03/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$369K
24GClaims22,800
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#24 of 201
Median peer was paid$21K
This provider vs. median17×
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 | 9,101 | $145K | |
| 2019 | 7,475 | $123K | |
| 2020 | 3,584 | $57K | |
| 2021 | 2,640 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 17% | 2,907 | 2,768 | $61K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,488 | 2,485 | $54K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,992 | 1,991 | $51K |
| D1351 | Sealant - per tooth | 12% | 1,895 | 427 | $43K |
| D1110 | Prophylaxis - adult | 8.2% | 966 | 964 | $30K |
| D0274 | Bitewings - four radiographic images | 6.5% | 1,481 | 1,480 | $24K |
| D0272 | Bitewings - two radiographic images | 4.5% | 1,393 | 1,390 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 3,717 | 2,756 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 3,023 | 2,979 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 494 | 494 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 114 | 69 | $8K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.2% | 143 | 84 | $8K |
8 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 158 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 255 | $7K |
| D0240 | 1.6% | 810 | $6K | |
| D2140 | 1.3% | 99 | $5K | |
| D1999 | 1.2% | 513 | $5K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 72 | $2K |
| D0330 | Panoramic radiographic image | <1% | 267 | $591.93 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $264.00 |
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 officialSTOAKES, HOLLY (ACCOUNT MANAGER)