Dental
Family Dental Center, SC
Family Dental Center, SC was paid $982K by Medicaid between Jan 2018 and Oct 2021, across 20 billing codes. Its largest line is D2332, — 49% of everything it billed.
33Billing provider infoFAMILY DENTAL CENTER, SC
MANITOWOC, WI 54220
MANITOWOC, WI 54220
33aNPI1639246127assigned 11/29/2006
33bProvider typeDentist
28Total paid$982K
24GClaims31,152
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#21 of 185
Median peer was paid$28K
This provider vs. median35×
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 | 11,216 | $362K | |
| 2019 | 7,852 | $230K | |
| 2020 | 6,386 | $213K | |
| 2021 | 5,698 | $176K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2332 | 49% | 8,290 | 1,273 | $480K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 18% | 4,372 | 1,112 | $180K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 2,276 | 2,229 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.3% | 2,883 | 2,835 | $42K |
| D1110 | Prophylaxis - adult | 3.3% | 1,311 | 1,279 | $33K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 2,263 | 2,217 | $27K |
| D1351 | Sealant - per tooth | 2.5% | 1,711 | 368 | $25K |
| D2161 | 2.3% | 463 | 268 | $22K | |
| D9110 | 2.2% | 927 | 806 | $21K | |
| D2160 | 2.2% | 402 | 212 | $21K | |
| D0272 | Bitewings - two radiographic images | 2.0% | 1,570 | 1,534 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 2,114 | 2,011 | $15K |
8 more codes
| D2335 | 1.3% | 215 | $13K | |
| D2140 | 1.2% | 368 | $12K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 430 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,373 | $8K |
| D0330 | Panoramic radiographic image | <1% | 114 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 38 | $3K |
| D7111 | <1% | 20 | $800.18 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 12 | $404.00 |
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 officialSEIDL, KATHY (BUSINESS ASSISTANT)