Dental
Familia Dental Gary PLLC
Familia Dental Gary PLLC was paid $296K by Medicaid between Jan 2018 and Sep 2019, across 22 billing codes. Its largest line is D1351, Sealant - per tooth — 13% of everything it billed.
33Billing provider infoFAMILIA DENTAL GARY PLLC
GARY, IN 46407
GARY, IN 46407
33aNPI1770994121assigned 05/19/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$296K
24GClaims19,007
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#180 of 723
Median peer was paid$60K
This provider vs. median5.0×
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 | 11,745 | $68K | |
| 2019 | 7,262 | $228K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 13% | 3,570 | 425 | $39K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 715 | 291 | $34K |
| D1110 | Prophylaxis - adult | 9.5% | 1,104 | 993 | $28K |
| D0274 | Bitewings - four radiographic images | 8.0% | 1,308 | 1,161 | $24K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.6% | 316 | 214 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 965 | 846 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.1% | 1,533 | 1,367 | $18K |
| D2335 | 6.1% | 334 | 133 | $18K | |
| D1120 | Dental cleaning, childProphylaxis - child | 5.4% | 1,037 | 902 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 2,394 | 2,089 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 2,738 | 1,972 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 1,232 | 1,085 | $12K |
10 more codes
| D0272 | Bitewings - two radiographic images | 3.0% | 766 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 201 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.4% | 265 | $7K |
| D2330 | 2.3% | 155 | $7K | |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 214 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 23 | $1K |
| D2331 | <1% | 56 | $987.71 | |
| D1206 | Topical application of fluoride varnish | <1% | 30 | $623.00 |
| D2332 | <1% | 30 | $223.16 | |
| D9920 | 0% | 21 | $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 officialAZAD, KOUSHAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Familia Dental Mkemidtown LLC | Milwaukee, WI | $7.41M |
| Koushan Azad DMD INC | Santa Maria, CA | $5.43M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.