American Family Dentistry LLC

American Family Dentistry LLC was paid $35K by Medicaid between Jan 2018 and Sep 2018, across 11 billing codes. Its largest line is D5110, — 21% of everything it billed.

33Billing provider infoAMERICAN FAMILY DENTISTRY LLC
WAVERLY, IA 50677

33aNPI1760925523assigned 11/28/2016

33bProvider typeDentist

28Total paid$35K

24GClaims1,080

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Dentist providers in Iowa

Rank by total paid#123 of 268

Median peer was paid$26K

This provider vs. median1.3×

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	1,080	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D5110		21%	16	14	$7K
D1110	Prophylaxis - adult	20%	219	210	$7K
D2740	Crown - porcelain/ceramic	17%	30	12	$6K
D0210	Intraoral - complete series of radiographic images	16%	156	125	$5K
D0150	Comprehensive oral evaluation - new or established patient	11%	195	182	$4K
D1208	Topical application of fluoride, excluding varnish	8.4%	222	213	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.0%	68	68	$1K
D0330	Panoramic radiographic image	2.2%	86	83	$751.55
D0140	Limited oral evaluation - problem focused	<1%	15	14	$317.17
D0220	Intraoral - periapical first radiographic image	<1%	41	41	$222.99
D0274	Bitewings - four radiographic images	<1%	32	32	$122.85

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 officialGOEL, AVIJIT (MANAGING MEMBER)