Clinic
Family Dental Care at Eagleton Center
Family Dental Care at Eagleton Center was paid $129K by Medicaid between Jan 2018 and Aug 2021, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoFAMILY DENTAL CARE AT EAGLETON CENTER
LONDON, OH 43140
LONDON, OH 43140
33aNPI1811170160assigned 12/10/2007
33bProvider typeDental Clinic/Center
28Total paid$129K
24GClaims5,051
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Dental Clinic/Center providers in Ohio
Rank by total paid#67 of 111
Median peer was paid$236K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2018 | 3,279 | $90K | |
| 2019 | 1,324 | $29K | |
| 2020 | 389 | $8K | |
| 2021 | 59 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 469 | 194 | $23K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 390 | 361 | $20K |
| D1110 | Prophylaxis - adult | 13% | 564 | 532 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,056 | 1,007 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.5% | 196 | 111 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 7.3% | 691 | 654 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.8% | 485 | 454 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 360 | 334 | $9K |
| D0274 | Bitewings - four radiographic images | 6.6% | 472 | 446 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.0% | 61 | 30 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 46 | 45 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 99 | 93 | $920.00 |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 162 | $705.00 |
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 officialKHAKSAFARD, ALI (OWNER)