316 Family Dental LLC

316 Family Dental LLC was paid $2K by Medicaid between Nov 2022 and Jul 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.

33Billing provider info316 FAMILY DENTAL LLC
NEWTON, KS 67114

33aNPI1679187686assigned 09/08/2020

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims125

24DCodes billed4

24AFirst – last monthNov 2022 – Jul 2024

Compared with peers

Next to other General Practice Dentistry providers in Kansas

Rank by total paid#167 of 203

Median peer was paid$40K

This provider vs. median0.1×

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
2022	36	$255.40
2023	30	$874.26
2024incomplete	59	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	39%	45	41	$838.60
D1208	Topical application of fluoride, excluding varnish	28%	51	45	$609.18
D1110	Prophylaxis - adult	26%	12	12	$568.44
D1120	Dental cleaning, childProphylaxis - child	6.4%	17	13	$138.64

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 officialMETTMAN, ANDREW (OWNER/DENTIST)