Dental
Family Dental LLC
Family Dental LLC was paid $3.49M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 12% of everything it billed.
33Billing provider infoFAMILY DENTAL LLC
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1629355045assigned 11/14/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$3.49M
24GClaims102,694
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#15 of 331
Median peer was paid$75K
This provider vs. median46×
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 | 17,988 | $744K | |
| 2019 | 16,797 | $622K | |
| 2020 | 14,417 | $521K | |
| 2021 | 17,733 | $586K | |
| 2022 | 15,232 | $462K | |
| 2023 | 11,718 | $287K | |
| 2024incomplete | 8,809 | $265K |
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 | 12% | 4,245 | 2,351 | $403K |
| D1110 | Prophylaxis - adult | 12% | 8,035 | 8,035 | $402K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.8% | 2,960 | 1,739 | $343K |
| D0274 | Bitewings - four radiographic images | 6.5% | 8,299 | 8,299 | $225K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 9,790 | 9,790 | $221K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.2% | 1,570 | 1,105 | $216K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 5,953 | 5,953 | $208K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 15,499 | 15,359 | $197K |
| D7140 | Extraction, erupted tooth or exposed root | 5.6% | 2,271 | 1,341 | $194K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 4,702 | 4,702 | $186K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 10,792 | 10,792 | $177K |
| D1351 | Sealant - per tooth | 4.7% | 5,472 | 1,615 | $164K |
10 more codes
| D2394 | 4.5% | 1,133 | $156K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 14,698 | $136K |
| D0140 | Limited oral evaluation - problem focused | 3.6% | 3,298 | $125K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 965 | $71K |
| D0272 | Bitewings - two radiographic images | 1.6% | 2,884 | $55K |
| D2335 | <1% | 38 | $4K | |
| D2332 | <1% | 37 | $4K | |
| D2161 | <1% | 27 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 13 | $468.00 |
| D0270 | <1% | 13 | $158.86 |
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 officialSTATHAKIS, PETER (CFO)
| Provider | Location | Paid |
|---|---|---|
| Dental Dreams PLLC | Saginaw, MI | $4.01M |
| Family Dental Center, LLC | Columbia, SC | $3.87M |
| Family Dental Center, LLC | Greenville, SC | $2.66M |
| Dental Dreams PLLC | Muskegon, MI | $1.90M |
| Von Westernhagen Dental Corporation | Highland, CA | $602K |
| Von Westernhagen Dental Corporation | Fontana, CA | $565K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.