Dental
Family Dentistry on the Square, INC
Family Dentistry on the Square, INC was paid $248K by Medicaid between Aug 2019 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 44% of everything it billed.
33Billing provider infoFAMILY DENTISTRY ON THE SQUARE, INC
WADSWORTH, OH 44281
WADSWORTH, OH 44281
33aNPI1790233971assigned 09/15/2016
33bProvider typeDentist
28Total paid$248K
24GClaims9,548
24DCodes billed12
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#185 of 745
Median peer was paid$38K
This provider vs. median6.5×
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 | |
|---|---|---|---|
| 2019 | 634 | $13K | |
| 2020 | 1,483 | $30K | |
| 2021 | 1,804 | $38K | |
| 2022 | 1,819 | $42K | |
| 2023 | 1,957 | $45K | |
| 2024incomplete | 1,851 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 44% | 2,902 | 2,723 | $108K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 3,174 | 2,993 | $60K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.9% | 340 | 247 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 787 | 759 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 6.4% | 928 | 894 | $16K |
| D0274 | Bitewings - four radiographic images | 4.4% | 518 | 480 | $11K |
| D0272 | Bitewings - two radiographic images | 3.1% | 650 | 628 | $8K |
| D0330 | Panoramic radiographic image | 1.3% | 68 | 64 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 52 | 39 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 65 | 63 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 52 | 40 | $790.30 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $30.00 |
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 officialGUTHRIE, ROBERT (OWNER/DENTIST)