Dental
Madison Family Dental, LLC
Madison Family Dental, LLC was paid $73K by Medicaid between Feb 2018 and Aug 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoMADISON FAMILY DENTAL, LLC
MADISON, TN 37115
MADISON, TN 37115
33aNPI1720325335assigned 01/16/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$73K
24GClaims2,519
24DCodes billed9
24AFirst – last monthFeb 2018 – Aug 2022
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#198 of 336
Median peer was paid$123K
This provider vs. median0.6×
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 | 379 | $10K | |
| 2019 | 580 | $17K | |
| 2020 | 654 | $21K | |
| 2021 | 491 | $14K | |
| 2022 | 415 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 471 | 461 | $20K |
| D1206 | Topical application of fluoride varnish | 23% | 835 | 818 | $17K |
| D0274 | Bitewings - four radiographic images | 15% | 416 | 404 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 398 | 390 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.3% | 72 | 30 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.1% | 114 | 110 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 104 | 101 | $3K |
| D0330 | Panoramic radiographic image | 3.5% | 72 | 70 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 37 | 37 | $1K |
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 officialKSHATRI, RAJAN (OWNER)