Family Dental Care LLC

Family Dental Care LLC was paid $2K by Medicaid between May 2018 and Oct 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 54% of everything it billed.

33Billing provider infoFAMILY DENTAL CARE LLC
MTN HOME, ID 83647

33aNPI1649442955assigned 03/26/2008

33bProvider typeDentist

28Total paid$2K

24GClaims171

24DCodes billed4

24AFirst – last monthMay 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in Idaho

Rank by total paid#68 of 89

Median peer was paid$16K

This provider vs. median0.2×

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	26	$252.51
2019	16	$375.61
2020	26	$160.03
2021	40	$366.91
2022	50	$1K
2024incomplete	13	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	54%	78	77	$1K
D1110	Prophylaxis - adult	46%	12	12	$1K
D1208	Topical application of fluoride, excluding varnish	0%	67	67	$0.00
D1999		0%	14	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 officialBORGHOLTHAUS, DAVID (OFFICE MANAGER)